Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.59 / $528.35 / $7,920.26	Facility		$101.59	$528.35	$7,920.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,327.44 / $1,327.44 / $1,327.44	Facility	50	$1,327.44	$1,327.44	$1,327.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.89 / $93.66 / $287.97	Professional		$48.89	$93.66	$287.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $109.71 / $150.71 / $676.13	Professional	50	$109.71	$150.71	$676.13
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 $78.75 / $131.79 / $235.24	Professional		$78.75	$131.79	$235.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.03 / $133.88 / $218.67	Professional		$107.03	$133.88	$218.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.52 / $126.88 / $195.50	Facility		$73.52	$126.88	$195.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.16 / $141.36 / $218.35	Professional		$88.16	$141.36	$218.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $152.76 / $181.57	Facility		$91.66	$152.76	$181.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.52 / $126.88 / $229.11	Facility		$73.52	$126.88	$229.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.92 / $148.19 / $232.29	Professional		$97.92	$148.19	$232.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,689.91 / $2,086.37 / $2,613.15	Facility		$1,689.91	$2,086.37	$2,613.15
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $2,534.87 / $3,129.56 / $3,919.73	Facility	50	$2,534.87	$3,129.56	$3,919.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $99.66 / $160.60 / $243.62	Professional		$99.66	$160.60	$243.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.18 / $165.71 / $258.83	Professional		$118.18	$165.71	$258.83