Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.93 / $1,524.00 / $8,728.00	Facility		$94.93	$1,524.00	$8,728.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,131.64 / $6,131.64 / $6,794.90	Facility	50	$6,131.64	$6,131.64	$6,794.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $248.05 / $439.59	Professional		$46.93	$248.05	$439.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $372.08 / $372.08 / $372.08	Professional	50	$372.08	$372.08	$372.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.37 / $80.37 / $80.37	Facility		$80.37	$80.37	$80.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.87 / $264.24 / $723.59	Professional		$72.87	$264.24	$723.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.73 / $127.87 / $602.75	Professional		$93.73	$127.87	$602.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $272.57 / $756.72	Facility		$63.10	$272.57	$756.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $385.34 / $660.48	Professional		$79.26	$385.34	$660.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $102.81 / $501.16 / $613.04	Facility		$102.81	$501.16	$613.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $287.77 / $744.14	Facility		$63.10	$287.77	$744.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.89 / $325.89 / $724.53	Professional		$89.89	$325.89	$724.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.17 / $307.41 / $701.46	Professional		$89.17	$307.41	$701.46
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 $304.60 / $578.34 / $855.81	Professional		$304.60	$578.34	$855.81