Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $489.78 / $2,570.40	Facility		$138.04	$489.78	$2,570.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $363.08 / $446.68 / $489.78	Facility	50	$363.08	$446.68	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $138.04 / $398.11	Professional		$54.95	$138.04	$398.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $112.20 / $512.86 / $562.34	Professional	50	$112.20	$512.86	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $177.83 / $426.58	Professional		$79.43	$177.83	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $162.18 / $407.38	Professional		$91.20	$162.18	$407.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $186.21 / $537.03	Facility		$81.28	$186.21	$537.03
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $363.08 / $446.68 / $489.78	Facility	50	$363.08	$446.68	$489.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $169.82 / $380.19	Professional		$85.11	$169.82	$380.19
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $218.78 / $524.81 / $741.31	Professional	50	$218.78	$524.81	$741.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $257.04 / $316.23	Facility		$138.04	$257.04	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $144.54 / $331.13	Facility		$67.61	$144.54	$331.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $144.54 / $398.11	Professional		$79.43	$144.54	$398.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $398.11 / $478.63	Facility		$309.03	$398.11	$478.63
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $676.08 / $676.08 / $676.08	Facility	50	$676.08	$676.08	$676.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $407.38	Professional		$107.15	$177.83	$407.38
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 $85.11 / $154.88 / $389.05	Professional		$85.11	$154.88	$389.05