Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.02 / $464.70 / $1,029.30	Facility		$131.02	$464.70	$1,029.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.30 / $107.24 / $343.74	Professional		$60.30	$107.24	$343.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $650.03 / $650.03 / $650.03	Professional	50	$650.03	$650.03	$650.03
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 $89.06 / $150.50 / $238.41	Professional		$89.06	$150.50	$238.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.97 / $167.38 / $223.59	Professional		$131.97	$167.38	$223.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.28 / $129.97 / $195.28	Facility		$85.28	$129.97	$195.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $103.01 / $144.41 / $209.03	Professional		$103.01	$144.41	$209.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $99.70 / $162.81 / $180.23	Facility		$99.70	$162.81	$180.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.44 / $129.97 / $214.20	Facility		$83.44	$129.97	$214.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.40 / $161.29 / $227.99	Professional		$114.40	$161.29	$227.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $647.77 / $819.80 / $1,030.29	Facility		$647.77	$819.80	$1,030.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $115.62 / $168.78 / $241.10	Professional		$115.62	$168.78	$241.10
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $1,078.00 / $6,216.00	Facility		$376.00	$1,078.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.07 / $170.68 / $262.06	Professional		$119.07	$170.68	$262.06