Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $323.59 / $6,165.95	Facility		$81.28	$323.59	$6,165.95
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility	50	$7,244.36	$7,244.36	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $69.18 / $251.19	Professional		$39.81	$69.18	$251.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $120.23 / $407.38	Professional	50	$81.28	$120.23	$407.38
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 $48.98 / $83.18 / $138.04	Professional		$48.98	$83.18	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $93.33 / $138.04	Professional		$60.26	$93.33	$138.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $75.86 / $275.42	Facility		$45.71	$75.86	$275.42
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility	50	$7,244.36	$7,244.36	$7,244.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $141.25	Professional		$53.70	$87.10	$141.25
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $79.43 / $131.83 / $380.19	Professional	50	$79.43	$131.83	$380.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $97.72 / $112.20	Facility		$69.18	$97.72	$112.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $72.44 / $120.23	Facility		$40.74	$72.44	$120.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $138.04	Professional		$66.07	$89.13	$138.04
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 Facility Modifier 50 Low / Median / High Price $1,096.48 / $1,412.54 / $1,698.24	Facility	50	$1,096.48	$1,412.54	$1,698.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $138.04	Professional		$69.18	$97.72	$138.04
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 / $85.11 / $131.83	Professional		$54.95	$85.11	$131.83