Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.22 / $408.66 / $5,116.62	Facility		$76.22	$408.66	$5,116.62
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,257.50 / $7,257.50 / $7,257.50	Facility	50	$7,257.50	$7,257.50	$7,257.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $76.61 / $269.60	Professional		$37.71	$76.61	$269.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.51 / $132.60 / $411.00	Professional	50	$77.51	$132.60	$411.00
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 $52.99 / $87.82 / $145.16	Professional		$52.99	$87.82	$145.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.73 / $93.96 / $133.15	Professional		$75.73	$93.96	$133.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.78 / $81.58 / $122.67	Facility		$51.78	$81.58	$122.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.27 / $88.95 / $125.42	Professional		$62.27	$88.95	$125.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $95.27 / $111.22	Facility		$59.90	$95.27	$111.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.78 / $83.22 / $141.59	Facility		$51.78	$83.22	$141.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.22 / $97.84 / $141.82	Professional		$69.22	$97.84	$141.82
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 $69.58 / $103.82 / $148.05	Professional		$69.58	$103.82	$148.05
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 $72.39 / $102.94 / $160.66	Professional		$72.39	$102.94	$160.66