Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $186.21 / $6,606.93	Facility		$112.20	$186.21	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $91.20 / $309.03	Professional		$54.95	$91.20	$309.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $107.15 / $162.18 / $575.44	Professional	50	$107.15	$162.18	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $128.82 / $204.17	Professional		$70.79	$128.82	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $213.80	Professional		$93.33	$144.54	$213.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $107.15 / $173.78	Facility		$60.26	$107.15	$173.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $208.93	Professional		$85.11	$128.82	$208.93
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $162.18 / $537.03	Professional	50	$109.65	$162.18	$537.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $147.91 / $165.96	Facility		$107.15	$147.91	$165.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $107.15 / $173.78	Facility		$58.88	$107.15	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.82 / $204.17	Professional		$79.43	$128.82	$204.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $933.25 / $1,122.02	Facility		$741.31	$933.25	$1,122.02
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,096.48 / $1,412.54 / $1,698.24	Facility	50	$1,096.48	$1,412.54	$1,698.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $208.93	Professional		$104.71	$144.54	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,513.56 / $6,165.95	Facility		$389.05	$1,513.56	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $194.98	Professional		$81.28	$125.89	$194.98