Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.36 / $243.00 / $525.08	Facility		$80.36	$243.00	$525.08
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $422.40 / $422.40 / $422.40	Facility	50	$422.40	$422.40	$422.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.52 / $86.24 / $293.39	Professional		$39.52	$86.24	$293.39
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.57 / $114.57 / $114.57	Professional	50	$114.57	$114.57	$114.57
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 $60.71 / $102.82 / $179.62	Professional		$60.71	$102.82	$179.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.66 / $108.54 / $170.99	Professional		$84.66	$108.54	$170.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.69 / $92.79 / $152.28	Facility		$55.69	$92.79	$152.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.12 / $105.56 / $158.11	Professional		$66.12	$105.56	$158.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $73.16 / $119.87 / $137.35	Facility		$73.16	$119.87	$137.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.69 / $92.79 / $159.80	Facility		$55.69	$92.79	$159.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $112.84 / $171.69	Professional		$74.23	$112.84	$171.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $307.31 / $396.76 / $478.20	Facility		$307.31	$396.76	$478.20
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $677.87 / $677.87 / $677.87	Facility	50	$677.87	$677.87	$677.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $76.22 / $121.77 / $181.96	Professional		$76.22	$121.77	$181.96
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 $89.39 / $129.21 / $210.79	Professional		$89.39	$129.21	$210.79