Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.43 / $665.81 / $7,920.26	Facility		$153.43	$665.81	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.43 / $198.59 / $857.00	Professional		$73.43	$198.59	$857.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $55.99 / $394.06 / $473.83	Professional	50	$55.99	$394.06	$473.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.65 / $258.33 / $663.76	Professional		$132.65	$258.33	$663.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.08 / $227.97 / $595.14	Professional		$144.08	$227.97	$595.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.72 / $249.49 / $575.72	Facility		$112.72	$249.49	$575.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.82 / $303.55 / $660.92	Professional		$123.82	$303.55	$660.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $154.77 / $396.77 / $490.44	Facility		$154.77	$396.77	$490.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.72 / $384.57 / $826.83	Facility		$112.72	$384.57	$826.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.57 / $285.60 / $663.25	Professional		$149.57	$285.60	$663.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $307.31 / $396.76 / $505.91	Facility		$307.31	$396.76	$505.91
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $460.97 / $595.14 / $758.87	Facility	50	$460.97	$595.14	$758.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $149.55 / $266.16 / $704.94	Professional		$149.55	$266.16	$704.94
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $343.97 / $537.69 / $791.54	Professional		$343.97	$537.69	$791.54