Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.70 / $490.97 / $5,116.62	Facility		$123.70	$490.97	$5,116.62
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $360.00 / $445.44 / $494.36	Facility	50	$360.00	$445.44	$494.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.64 / $123.70 / $398.00	Professional		$51.64	$123.70	$398.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $231.25 / $540.23 / $568.50	Professional	50	$231.25	$540.23	$568.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.51 / $183.79 / $425.36	Professional		$95.51	$183.79	$425.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.30 / $154.71 / $384.05	Professional		$105.30	$154.71	$384.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.94 / $176.17 / $348.72	Facility		$81.94	$176.17	$348.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $90.21 / $171.60 / $427.50	Professional		$90.21	$171.60	$427.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $109.21 / $194.48 / $314.89	Facility		$109.21	$194.48	$314.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.94 / $184.73 / $407.60	Facility		$81.94	$184.73	$407.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.24 / $182.07 / $422.75	Professional		$108.24	$182.07	$422.75
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 $109.41 / $194.72 / $450.06	Professional		$109.41	$194.72	$450.06
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 $180.07 / $265.86 / $505.34	Professional		$180.07	$265.86	$505.34