Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.11 / $516.79 / $3,150.99	Facility		$88.11	$516.79	$3,150.99
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $142.74 / $491.40 / $2,245.67	Facility	50	$142.74	$491.40	$2,245.67
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $45.41 / $55.49 / $80.59	Facility	52	$45.41	$55.49	$80.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.59 / $90.70 / $297.76	Professional		$45.59	$90.70	$297.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $93.93 / $179.63 / $447.85	Professional	50	$93.93	$179.63	$447.85
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 $63.22 / $105.38 / $170.68	Professional		$63.22	$105.38	$170.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.83 / $115.48 / $157.15	Professional		$92.83	$115.48	$157.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.26 / $99.57 / $146.19	Facility		$63.26	$99.57	$146.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $76.98 / $104.70 / $148.99	Professional		$76.98	$104.70	$148.99
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $154.65 / $154.65 / $154.65	Professional	50	$154.65	$154.65	$154.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.23 / $115.24 / $131.32	Facility		$75.23	$115.24	$131.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.26 / $100.24 / $165.61	Facility		$63.26	$100.24	$165.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.42 / $117.51 / $167.72	Professional		$84.42	$117.51	$167.72
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 $84.76 / $124.95 / $176.16	Professional		$84.76	$124.95	$176.16
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 $87.36 / $124.79 / $190.88	Professional		$87.36	$124.79	$190.88
United Facility/Professional Professional Modifier 50 Low / Median / High Price $80.00 / $80.00 / $95.00	Professional	50	$80.00	$80.00	$95.00