Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.91 / $988.00 / $7,920.26	Facility		$85.91	$988.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $73.20 / $268.00	Professional		$38.61	$73.20	$268.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.20 / $80.09 / $109.95	Professional	50	$73.20	$80.09	$109.95
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 $60.22 / $97.77 / $152.07	Professional		$60.22	$97.77	$152.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.30 / $98.06 / $139.47	Professional		$79.30	$98.06	$139.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.70 / $86.24 / $132.16	Facility		$54.70	$86.24	$132.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $92.80 / $131.51	Professional		$65.09	$92.80	$131.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $69.14 / $107.20 / $115.91	Facility		$69.14	$107.20	$115.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.70 / $86.83 / $148.44	Facility		$54.70	$86.83	$148.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $105.00 / $150.47	Professional		$73.45	$105.00	$150.47
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 Professional Modifier Low / Median / High Price $73.94 / $109.91 / $159.11	Professional		$73.94	$109.91	$159.11
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 $75.68 / $113.87 / $172.53	Professional		$75.68	$113.87	$172.53