Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.85 / $2,747.00 / $7,920.26	Facility		$276.85	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.87 / $173.93 / $502.98	Professional		$97.87	$173.93	$502.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $260.91 / $260.91 / $260.91	Professional	50	$260.91	$260.91	$260.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.57 / $300.41 / $509.05	Professional		$178.57	$300.41	$509.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.97 / $299.88 / $458.88	Professional		$218.97	$299.88	$458.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.15 / $287.77 / $479.59	Facility		$162.15	$287.77	$479.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $175.16 / $296.20 / $508.04	Professional		$175.16	$296.20	$508.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $183.04 / $338.00 / $375.87	Facility		$183.04	$338.00	$375.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.15 / $290.64 / $481.39	Facility		$162.15	$290.64	$481.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $205.85 / $327.83 / $503.70	Professional		$205.85	$327.83	$503.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $555.45 / $710.18 / $967.39	Facility		$555.45	$710.18	$967.39
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $833.18 / $1,065.27 / $1,451.09	Facility	50	$833.18	$1,065.27	$1,451.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $214.94 / $345.03 / $531.54	Professional		$214.94	$345.03	$531.54
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 $274.01 / $398.24 / $596.86	Professional		$274.01	$398.24	$596.86