Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $524.81 / $6,025.60	Facility		$114.82	$524.81	$6,025.60
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility	50	$1,548.82	$1,548.82	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $114.82 / $371.54	Professional		$47.86	$114.82	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $154.88 / $331.13	Professional		$85.11	$154.88	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $316.23	Professional		$100.00	$138.04	$316.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $186.21 / $1,258.93	Facility		$75.86	$186.21	$1,258.93
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility	50	$1,548.82	$1,548.82	$1,548.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $144.54 / $309.03	Professional		$81.28	$144.54	$309.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $251.19 / $354.81	Facility		$123.03	$251.19	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $120.23 / $269.15	Facility		$69.18	$120.23	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $138.04 / $323.59	Professional		$79.43	$138.04	$323.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,548.82	Facility		$891.25	$1,258.93	$1,548.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $323.59	Professional		$112.20	$177.83	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,995.26 / $6,165.95	Facility		$389.05	$1,995.26	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $154.88 / $309.03	Professional		$85.11	$154.88	$309.03