Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $218.78 / $501.19	Facility		$60.26	$218.78	$501.19
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $263.03 / $602.56 / $1,258.93	Facility	50	$263.03	$602.56	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $81.28 / $151.36	Professional		$25.70	$81.28	$151.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $42.66 / $138.04 / $239.88	Professional	50	$42.66	$138.04	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $89.13 / $223.87	Professional		$34.67	$89.13	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $83.18 / $213.80	Professional		$44.67	$83.18	$213.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $87.10 / $223.87	Facility		$26.30	$87.10	$223.87
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $263.03 / $512.86 / $1,258.93	Facility	50	$263.03	$512.86	$1,258.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $112.20 / $199.53	Professional		$36.31	$112.20	$199.53
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $42.66 / $138.04 / $239.88	Professional	50	$42.66	$138.04	$239.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $162.18 / $177.83	Facility		$100.00	$162.18	$177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $83.18 / $186.21	Facility		$26.30	$83.18	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $79.43 / $218.78	Professional		$45.71	$79.43	$218.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $501.19 / $602.56	Facility		$380.19	$501.19	$602.56
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $562.34 / $741.31 / $912.01	Facility	50	$562.34	$741.31	$912.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $91.20 / $218.78	Professional		$48.98	$91.20	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,071.52 / $6,165.95	Facility		$389.05	$1,071.52	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $87.10 / $213.80	Professional		$33.11	$87.10	$213.80