Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $239.88 / $6,456.54	Facility		$75.86	$239.88	$6,456.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility	50	$3,235.94	$3,235.94	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $67.61 / $194.98	Professional		$37.15	$67.61	$194.98
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 $45.71 / $81.28 / $138.04	Professional		$45.71	$81.28	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $125.89	Professional		$67.61	$89.13	$125.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $77.62 / $173.78	Facility		$43.65	$77.62	$173.78
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility	50	$3,235.94	$3,235.94	$3,235.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $85.11 / $134.90	Professional		$54.95	$85.11	$134.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $102.33 / $107.15	Facility		$75.86	$102.33	$107.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $72.44 / $112.20	Facility		$41.69	$72.44	$112.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $131.83	Professional		$64.57	$87.10	$131.83
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 Professional Modifier Low / Median / High Price $67.61 / $97.72 / $131.83	Professional		$67.61	$97.72	$131.83
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 $54.95 / $87.10 / $134.90	Professional		$54.95	$87.10	$134.90