Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $794.33 / $5,495.41	Facility		$138.04	$794.33	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility	50	$2,691.53	$2,691.53	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $204.17 / $562.34	Professional		$66.07	$204.17	$562.34
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $245.47 / $707.95	Professional	50	$147.91	$245.47	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $208.93 / $616.60	Professional		$93.33	$208.93	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $575.44	Professional		$112.20	$173.78	$575.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $245.47 / $549.54	Facility		$77.62	$245.47	$549.54
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility	50	$2,691.53	$2,691.53	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $288.40 / $562.34	Professional		$100.00	$288.40	$562.34
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $245.47 / $245.47 / $245.47	Professional	50	$245.47	$245.47	$245.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $407.38 / $457.09	Facility		$275.42	$407.38	$457.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $218.78 / $489.78	Facility		$75.86	$218.78	$489.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $190.55 / $602.56	Professional		$79.43	$190.55	$602.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $281.84 / $562.34	Professional		$128.82	$281.84	$562.34
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 $81.28 / $213.80 / $549.54	Professional		$81.28	$213.80	$549.54