Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.14 / $803.25 / $5,709.00	Facility		$71.14	$803.25	$5,709.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,530.00 / $1,530.00 / $1,530.00	Facility	50	$1,530.00	$1,530.00	$1,530.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.91 / $51.77 / $170.90	Professional		$31.91	$51.77	$170.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.50 / $54.50 / $54.50	Facility		$54.50	$54.50	$54.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $83.14 / $224.40	Professional		$49.95	$83.14	$224.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.53 / $84.94 / $202.62	Professional		$64.53	$84.94	$202.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.11 / $81.34 / $162.80	Facility		$39.11	$81.34	$162.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.78 / $88.50 / $214.84	Professional		$53.78	$88.50	$214.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.31 / $135.22 / $165.49	Facility		$58.31	$135.22	$165.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.84 / $84.27 / $210.55	Facility		$40.84	$84.27	$210.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.40 / $96.55 / $221.03	Professional		$62.40	$96.55	$221.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,037.60 / $1,391.47 / $1,633.46	Facility		$1,037.60	$1,391.47	$1,633.46
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $2,473.02 / $2,473.02 / $2,473.02	Facility	50	$2,473.02	$2,473.02	$2,473.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.92 / $101.51 / $217.36	Professional		$61.92	$101.51	$217.36
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 $71.81 / $142.19 / $244.96	Professional		$71.81	$142.19	$244.96