Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.41 / $3,213.00 / $8,728.00	Facility		$165.41	$3,213.00	$8,728.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $741.00 / $2,798.50 / $2,798.50	Facility	50	$741.00	$2,798.50	$2,798.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $211.74 / $535.33	Professional		$74.48	$211.74	$535.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.81 / $138.81 / $138.81	Facility		$138.81	$138.81	$138.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.03 / $262.64 / $827.69	Professional		$126.03	$262.64	$827.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.60 / $224.56 / $747.66	Professional		$164.60	$224.56	$747.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.06 / $313.43 / $660.88	Facility		$109.06	$313.43	$660.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.13 / $380.90 / $809.88	Professional		$138.13	$380.90	$809.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $168.70 / $494.18 / $613.72	Facility		$168.70	$494.18	$613.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.99 / $327.91 / $769.39	Facility		$114.99	$327.91	$769.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.52 / $376.48 / $821.28	Professional		$155.52	$376.48	$821.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $151.04 / $376.46 / $801.72	Professional		$151.04	$376.46	$801.72
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 $301.70 / $543.40 / $864.09	Professional		$301.70	$543.40	$864.09