Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.56 / $772.20 / $6,072.60	Facility		$109.56	$772.20	$6,072.60
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,558.44 / $1,558.44 / $1,558.44	Facility	50	$1,558.44	$1,558.44	$1,558.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.32 / $91.02 / $347.93	Professional		$42.32	$91.02	$347.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.11 / $169.17 / $348.34	Professional		$94.11	$169.17	$348.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.29 / $143.72 / $302.82	Professional		$108.29	$143.72	$302.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.34 / $147.74 / $281.37	Facility		$80.34	$147.74	$281.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.14 / $180.03 / $274.58	Professional		$97.14	$180.03	$274.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $118.59 / $253.62 / $373.18	Facility		$118.59	$253.62	$373.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.40 / $175.96 / $449.35	Facility		$76.40	$175.96	$449.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.32 / $175.56 / $326.63	Professional		$111.32	$175.56	$326.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $900.57 / $1,208.00 / $1,492.71	Facility		$900.57	$1,208.00	$1,492.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $114.59 / $189.87 / $365.74	Professional		$114.59	$189.87	$365.74
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.79 / $228.90 / $369.00	Professional		$167.79	$228.90	$369.00