Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $758.58 / $4,786.30	Facility		$72.44	$758.58	$4,786.30
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,513.56 / $1,513.56 / $1,621.81	Facility	50	$1,513.56	$1,513.56	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $60.26 / $173.78	Professional		$30.20	$60.26	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $89.13 / $223.87	Professional		$45.71	$89.13	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $81.28 / $204.17	Professional		$52.48	$81.28	$204.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $77.62 / $281.84	Facility		$35.48	$77.62	$281.84
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $1,513.56 / $1,513.56 / $1,621.81	Facility	50	$1,513.56	$1,513.56	$1,621.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $81.28 / $204.17	Professional		$46.77	$81.28	$204.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $141.25 / $165.96	Facility		$66.07	$141.25	$165.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $72.44 / $154.88	Facility		$33.88	$72.44	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $218.78	Professional		$61.66	$85.11	$218.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,659.59	Facility		$1,047.13	$1,318.26	$1,659.59
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility	50	$2,454.71	$2,454.71	$2,454.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $204.17	Professional		$61.66	$93.33	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,949.84 / $6,165.95	Facility		$389.05	$1,949.84	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $83.18 / $208.93	Professional		$37.15	$83.18	$208.93