Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.50 / $2,747.00 / $7,920.26	Facility		$124.50	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.67 / $95.19 / $328.00	Professional		$53.67	$95.19	$328.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $122.29 / $462.00 / $570.00	Professional	50	$122.29	$462.00	$570.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $133.54 / $216.22	Professional		$80.48	$133.54	$216.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.75 / $145.72 / $201.11	Professional		$116.75	$145.72	$201.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.38 / $118.12 / $178.20	Facility		$78.38	$118.12	$178.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.03 / $129.97 / $190.04	Professional		$94.03	$129.97	$190.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $95.19 / $144.05 / $166.16	Facility		$95.19	$144.05	$166.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.38 / $119.29 / $205.48	Facility		$78.38	$119.29	$205.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.25 / $147.31 / $212.73	Professional		$106.25	$147.31	$212.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $737.82 / $929.08 / $1,109.00	Facility		$737.82	$929.08	$1,109.00
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,106.73 / $1,393.62 / $1,663.50	Facility	50	$1,106.73	$1,393.62	$1,663.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $106.88 / $155.72 / $223.81	Professional		$106.88	$155.72	$223.81
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $1,108.70 / $6,216.00	Facility		$376.00	$1,108.70	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $159.75 / $242.64	Professional		$109.65	$159.75	$242.64