Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.26 / $988.00 / $7,920.26	Facility		$101.26	$988.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.72 / $81.48 / $214.21	Professional		$42.72	$81.48	$214.21
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $99.29 / $102.42 / $239.39	Professional	50	$99.29	$102.42	$239.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.47 / $116.88 / $216.69	Professional		$68.47	$116.88	$216.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.26 / $119.15 / $202.74	Professional		$95.26	$119.15	$202.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.33 / $111.35 / $176.80	Facility		$64.33	$111.35	$176.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.14 / $125.86 / $197.32	Professional		$77.14	$125.86	$197.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $85.80 / $138.02 / $166.83	Facility		$85.80	$138.02	$166.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.33 / $116.16 / $211.09	Facility		$64.33	$116.16	$211.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.76 / $133.25 / $212.73	Professional		$85.76	$133.25	$212.73
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 $87.45 / $142.66 / $222.07	Professional		$87.45	$142.66	$222.07
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 $108.59 / $148.94 / $234.00	Professional		$108.59	$148.94	$234.00