Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.76 / $143.62 / $5,116.62	Facility		$70.76	$143.62	$5,116.62
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $148.29 / $148.29 / $988.00	Facility	50	$148.29	$148.29	$988.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $79.59 / $291.70	Professional		$38.56	$79.59	$291.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $65.31 / $112.08 / $391.50	Professional	50	$65.31	$112.08	$391.50
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 $55.45 / $92.21 / $151.69	Professional		$55.45	$92.21	$151.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $99.23 / $140.53	Professional		$80.23	$99.23	$140.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.19 / $84.68 / $127.06	Facility		$54.19	$84.68	$127.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $92.63 / $133.03	Professional		$66.23	$92.63	$133.03
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $49.53 / $49.53 / $49.53	Professional	50	$49.53	$49.53	$49.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.50 / $116.58	Facility		$63.10	$100.50	$116.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.19 / $85.52 / $148.44	Facility		$54.19	$85.52	$148.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.88 / $102.96 / $148.44	Professional		$72.88	$102.96	$148.44
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 $74.01 / $107.76 / $154.50	Professional		$74.01	$107.76	$154.50
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 $75.88 / $111.22 / $176.76	Professional		$75.88	$111.22	$176.76