Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $371.54 / $5,011.87	Facility		$144.54	$371.54	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $117.49 / $363.08	Professional		$57.54	$117.49	$363.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $123.03 / $190.55 / $676.08	Professional	50	$123.03	$190.55	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $141.25 / $251.19	Professional		$75.86	$141.25	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $257.04	Professional		$95.50	$151.36	$257.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $144.54 / $2,089.30	Facility		$74.13	$144.54	$2,089.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $151.36 / $257.04	Professional		$85.11	$151.36	$257.04
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $123.03 / $190.55 / $575.44	Professional	50	$123.03	$190.55	$575.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $177.83 / $199.53	Facility		$125.89	$177.83	$199.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $114.82 / $213.80	Facility		$61.66	$114.82	$213.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $151.36 / $251.19	Professional		$79.43	$151.36	$251.19
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 $112.20 / $165.96 / $251.19	Professional		$112.20	$165.96	$251.19
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 $89.13 / $144.54 / $229.09	Professional		$89.13	$144.54	$229.09