Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $758.58 / $5,011.87	Facility		$123.03	$758.58	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $144.54 / $354.81	Professional		$47.86	$144.54	$354.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $17.38 / $17.38 / $575.44	Professional	50	$17.38	$17.38	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $165.96 / $436.52	Professional		$69.18	$165.96	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $128.82 / $389.05	Professional		$81.28	$128.82	$389.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $165.96 / $426.58	Facility		$57.54	$165.96	$426.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $199.53 / $389.05	Professional		$74.13	$199.53	$389.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $288.40 / $323.59	Facility		$181.97	$288.40	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $154.88 / $331.13	Facility		$54.95	$154.88	$331.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $141.25 / $416.87	Professional		$79.43	$141.25	$416.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $199.53 / $398.11	Professional		$95.50	$199.53	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $158.49 / $380.19	Professional		$58.88	$158.49	$380.19