Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $380.19 / $5,128.61	Facility		$112.20	$380.19	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $199.53 / $562.34	Professional		$72.44	$199.53	$562.34
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $56.23 / $295.12 / $478.63	Professional	50	$56.23	$295.12	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $257.04 / $660.69	Professional		$109.65	$257.04	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $263.03 / $645.65	Professional		$128.82	$263.03	$645.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $263.03 / $660.69	Facility		$104.71	$263.03	$660.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $309.03 / $616.60	Professional		$120.23	$309.03	$616.60
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $56.23 / $398.11 / $478.63	Professional	50	$56.23	$398.11	$478.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $416.87 / $489.78	Facility		$275.42	$416.87	$489.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $239.88 / $549.54	Facility		$93.33	$239.88	$549.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $199.53 / $616.60	Professional		$79.43	$199.53	$616.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $398.11 / $501.19	Facility		$309.03	$398.11	$501.19
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $457.09 / $602.56 / $741.31	Facility	50	$457.09	$602.56	$741.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $269.15 / $630.96	Professional		$147.91	$269.15	$630.96
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 $120.23 / $218.78 / $616.60	Professional		$120.23	$218.78	$616.60