Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.33 / $249.95 / $517.00	Facility		$97.33	$249.95	$517.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.14 / $89.28 / $310.00	Professional		$49.14	$89.28	$310.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $183.83 / $183.83 / $183.83	Professional	50	$183.83	$183.83	$183.83
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 $72.38 / $121.81 / $194.94	Professional		$72.38	$121.81	$194.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.22 / $131.09 / $183.44	Professional		$104.22	$131.09	$183.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $104.46 / $161.87	Facility		$68.45	$104.46	$161.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.13 / $116.58 / $171.79	Professional		$81.13	$116.58	$171.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $82.40 / $134.27 / $148.07	Facility		$82.40	$134.27	$148.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $102.67 / $177.65	Facility		$68.45	$102.67	$177.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.08 / $130.83 / $186.84	Professional		$91.08	$130.83	$186.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $376.96 / $498.08 / $590.98	Facility		$376.96	$498.08	$590.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.52 / $135.36 / $195.61	Professional		$91.52	$135.36	$195.61
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 $96.38 / $136.68 / $207.75	Professional		$96.38	$136.68	$207.75