Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.64 / $1,524.00 / $7,920.26	Facility		$198.64	$1,524.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.41 / $515.55 / $2,004.00	Professional		$239.41	$515.55	$2,004.00
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $56.34 / $149.61 / $313.02	Professional	AS	$56.34	$149.61	$313.02
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 $299.66 / $477.79 / $750.05	Professional		$299.66	$477.79	$750.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $454.11 / $538.38 / $638.14	Professional		$454.11	$538.38	$638.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $346.32 / $448.26 / $744.59	Facility		$346.32	$448.26	$744.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $413.09 / $451.98 / $780.75	Professional		$413.09	$451.98	$780.75
Moda Health Facility/Professional Professional Modifier AS Low / Median / High Price $55.75 / $55.75 / $55.75	Professional	AS	$55.75	$55.75	$55.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $359.98 / $484.51 / $515.90	Facility		$359.98	$484.51	$515.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.32 / $471.20 / $659.02	Facility		$346.32	$471.20	$659.02
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $381.93 / $381.93 / $381.93	Facility	62	$381.93	$381.93	$381.93
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $97.77 / $97.77 / $97.77	Facility	80	$97.77	$97.77	$97.77
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $83.11 / $83.11 / $83.11	Facility	AS	$83.11	$83.11	$83.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $466.85 / $537.60 / $715.69	Professional		$466.85	$537.60	$715.69
Providence Facility/Professional Professional Modifier AS Low / Median / High Price $65.20 / $71.84 / $98.32	Professional	AS	$65.20	$71.84	$98.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $472.34 / $606.84 / $807.73	Professional		$472.34	$606.84	$807.73
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 $376.42 / $526.39 / $809.46	Professional		$376.42	$526.39	$809.46