Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.99 / $988.00 / $6,629.40	Facility		$182.99	$988.00	$6,629.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $926.82 / $2,940.30 / $4,819.50	Facility	50	$926.82	$2,940.30	$4,819.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.61 / $182.27 / $506.71	Professional		$66.61	$182.27	$506.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $100.17 / $346.56 / $736.39	Professional	50	$100.17	$346.56	$736.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Facility		$78.00	$78.00	$78.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.21 / $228.09 / $447.06	Professional		$127.21	$228.09	$447.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.83 / $217.53 / $403.64	Professional		$172.83	$217.53	$403.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.05 / $241.54 / $400.35	Facility		$117.05	$241.54	$400.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $262.58 / $382.60	Professional		$134.19	$262.58	$382.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $160.80 / $302.83 / $331.84	Facility		$160.80	$302.83	$331.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.05 / $241.54 / $417.89	Facility		$117.05	$241.54	$417.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.66 / $247.86 / $423.98	Professional		$153.66	$247.86	$423.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $155.60 / $261.12 / $457.26	Professional		$155.60	$261.12	$457.26
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 $230.50 / $325.00 / $504.53	Professional		$230.50	$325.00	$504.53