Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $239.88 / $7,943.28	Facility		$169.82	$239.88	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $257.04	Professional		$85.11	$128.82	$257.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $218.78 / $218.78 / $218.78	Professional	50	$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $218.78 / $331.13	Professional		$117.49	$218.78	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $302.00	Professional		$134.90	$208.93	$302.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $173.78 / $288.40	Facility		$112.20	$173.78	$288.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $302.00	Professional		$125.89	$199.53	$302.00
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $218.78 / $218.78 / $218.78	Professional	50	$218.78	$218.78	$218.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $223.87 / $239.88	Facility		$162.18	$223.87	$239.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $173.78 / $275.42	Facility		$97.72	$173.78	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $199.53 / $302.00	Professional		$79.43	$199.53	$302.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $2,691.53	Facility		$1,737.80	$2,238.72	$2,691.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $309.03	Professional		$162.18	$223.87	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,951.21 / $7,413.10	Facility		$1,096.48	$2,951.21	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $309.03	Professional		$125.89	$204.17	$309.03