Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.78 / $630.79 / $6,629.40	Facility		$75.78	$630.79	$6,629.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,210.56 / $3,210.56 / $3,210.56	Facility	50	$3,210.56	$3,210.56	$3,210.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.64 / $68.90 / $229.00	Professional		$35.64	$68.90	$229.00
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 $54.93 / $92.55 / $140.43	Professional		$54.93	$92.55	$140.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.27 / $93.54 / $126.79	Professional		$75.27	$93.54	$126.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.84 / $80.06 / $121.77	Facility		$52.84	$80.06	$121.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.71 / $86.33 / $120.86	Professional		$61.71	$86.33	$120.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $63.44 / $97.48 / $107.44	Facility		$63.44	$97.48	$107.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.84 / $80.48 / $135.58	Facility		$52.84	$80.48	$135.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $99.54 / $138.25	Professional		$69.93	$99.54	$138.25
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 $69.58 / $102.29 / $149.71	Professional		$69.58	$102.29	$149.71
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 $74.48 / $109.71 / $166.53	Professional		$74.48	$109.71	$166.53