Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.44 / $172.20 / $7,920.26	Facility		$65.44	$172.20	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.99 / $52.50 / $213.00	Professional		$28.99	$52.50	$213.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $292.83 / $292.83 / $292.83	Professional	50	$292.83	$292.83	$292.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.55 / $85.41 / $153.87	Professional		$50.55	$85.41	$153.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.45 / $80.72 / $136.05	Professional		$59.45	$80.72	$136.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.51 / $72.29 / $117.42	Facility		$44.51	$72.29	$117.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.83 / $84.00 / $131.51	Professional		$52.83	$84.00	$131.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.01 / $93.80 / $116.58	Facility		$53.01	$93.80	$116.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.51 / $78.84 / $146.74	Facility		$44.51	$78.84	$146.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.19 / $87.40 / $145.35	Professional		$58.19	$87.40	$145.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $307.31 / $375.96 / $478.20	Facility		$307.31	$375.96	$478.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $101.75 / $162.02	Professional		$61.50	$101.75	$162.02
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $1,078.00 / $6,216.00	Facility		$376.00	$1,078.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.86 / $98.81 / $157.12	Professional		$70.86	$98.81	$157.12