Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $426.58 / $6,606.93	Facility		$213.80	$426.58	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $190.55 / $371.54	Professional		$97.72	$190.55	$371.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $263.03 / $263.03	Professional	50	$72.44	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $295.12 / $512.86	Professional		$165.96	$295.12	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $467.74	Professional		$194.98	$295.12	$467.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $257.04 / $478.63	Facility		$147.91	$257.04	$478.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $288.40 / $436.52	Professional		$169.82	$288.40	$436.52
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $263.03 / $263.03 / $263.03	Professional	50	$263.03	$263.03	$263.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $346.74 / $380.19	Facility		$234.42	$346.74	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $234.42 / $416.87	Facility		$138.04	$234.42	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $275.42 / $478.63	Professional		$79.43	$275.42	$478.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $776.25 / $912.01	Facility		$549.54	$776.25	$912.01
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $831.76 / $1,148.15 / $1,380.38	Facility	50	$831.76	$1,148.15	$1,380.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $331.13 / $478.63	Professional		$204.17	$331.13	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,174.90 / $6,165.95	Facility		$389.05	$1,174.90	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $281.84 / $489.78	Professional		$158.49	$281.84	$489.78