Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.22 / $135.93 / $5,709.00	Facility		$70.22	$135.93	$5,709.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $236.00 / $285.86 / $566.29	Facility	50	$236.00	$285.86	$566.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.71 / $71.90 / $206.00	Professional		$35.71	$71.90	$206.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $75.83 / $153.81 / $333.00	Professional	50	$75.83	$153.81	$333.00
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 $50.46 / $84.18 / $140.94	Professional		$50.46	$84.18	$140.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.62 / $91.34 / $130.72	Professional		$73.62	$91.34	$130.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.79 / $77.34 / $114.54	Facility		$49.79	$77.34	$114.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $84.00 / $123.14	Professional		$60.32	$84.00	$123.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.89 / $91.12 / $108.54	Facility		$57.89	$91.12	$108.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.79 / $78.39 / $135.58	Facility		$49.79	$78.39	$135.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.15 / $92.88 / $137.05	Professional		$66.15	$92.88	$137.05
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 $66.41 / $99.49 / $142.41	Professional		$66.41	$99.49	$142.41
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 $70.65 / $99.36 / $160.28	Professional		$70.65	$99.36	$160.28