Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.84 / $150.57 / $916.58	Facility		$108.84	$150.57	$916.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $94.36 / $335.00	Professional		$62.75	$94.36	$335.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $118.88 / $118.88 / $147.00	Professional	50	$118.88	$118.88	$147.00
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 $83.08 / $133.63 / $206.50	Professional		$83.08	$133.63	$206.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.88 / $143.31 / $190.40	Professional		$113.88	$143.31	$190.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.70 / $123.86 / $190.07	Facility		$76.70	$123.86	$190.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $92.22 / $129.34 / $177.87	Professional		$92.22	$129.34	$177.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $93.06 / $145.38 / $155.24	Facility		$93.06	$145.38	$155.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.70 / $124.45 / $193.07	Facility		$76.70	$124.45	$193.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.76 / $141.75 / $195.75	Professional		$101.76	$141.75	$195.75
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 $101.83 / $145.66 / $208.10	Professional		$101.83	$145.66	$208.10
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 $108.96 / $156.09 / $249.76	Professional		$108.96	$156.09	$249.76