Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.17 / $566.72 / $6,629.40	Facility		$100.17	$566.72	$6,629.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.67 / $108.57 / $248.01	Professional		$60.67	$108.57	$248.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $54.53 / $276.95 / $927.00	Professional	50	$54.53	$276.95	$927.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.44 / $155.62 / $309.05	Professional		$92.44	$155.62	$309.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.53 / $133.90 / $274.87	Professional		$105.53	$133.90	$274.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.94 / $157.49 / $275.47	Facility		$65.94	$157.49	$275.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.87 / $166.56 / $256.17	Professional		$88.87	$166.56	$256.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $204.35 / $243.21	Facility		$123.00	$204.35	$243.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.94 / $157.49 / $288.32	Facility		$65.94	$157.49	$288.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $182.79 / $298.32	Professional		$96.00	$182.79	$298.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $737.82 / $929.08 / $1,109.00	Facility		$737.82	$929.08	$1,109.00
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,106.73 / $1,393.62 / $1,663.50	Facility	50	$1,106.73	$1,393.62	$1,663.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.11 / $172.83 / $318.36	Professional		$97.11	$172.83	$318.36
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.50 / $222.64 / $348.09	Professional		$152.50	$222.64	$348.09