Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.70 / $1,486.00 / $7,920.26	Facility		$354.70	$1,486.00	$7,920.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,382.14 / $7,486.86 / $16,561.41	Facility	50	$2,382.14	$7,486.86	$16,561.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.59 / $318.11 / $724.67	Professional		$180.59	$318.11	$724.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.28 / $384.23 / $1,890.48	Professional	50	$125.28	$384.23	$1,890.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.65 / $443.81 / $693.74	Professional		$255.65	$443.81	$693.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $318.66 / $431.63 / $626.36	Professional		$318.66	$431.63	$626.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.62 / $413.95 / $813.24	Facility		$245.62	$413.95	$813.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $276.66 / $437.57 / $739.68	Professional		$276.66	$437.57	$739.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $285.82 / $476.37 / $554.13	Facility		$285.82	$476.37	$554.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.62 / $540.13 / $1,738.00	Facility		$245.62	$540.13	$1,738.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $315.29 / $465.50 / $692.40	Professional		$315.29	$465.50	$692.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,032.32 / $5,176.14 / $6,353.74	Facility		$4,032.32	$5,176.14	$6,353.74
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $6,048.48 / $7,764.21 / $9,530.61	Facility	50	$6,048.48	$7,764.21	$9,530.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $321.76 / $470.91 / $713.47	Professional		$321.76	$470.91	$713.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $383.95 / $550.09 / $801.11	Professional		$383.95	$550.09	$801.11