Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.09 / $2,747.00 / $7,920.26	Facility		$99.09	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.82 / $108.27 / $260.39	Professional		$58.82	$108.27	$260.39
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $126.14 / $646.98 / $646.98	Professional	50	$126.14	$646.98	$646.98
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 $90.78 / $154.10 / $242.13	Professional		$90.78	$154.10	$242.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.02 / $117.42 / $197.75	Professional		$93.02	$117.42	$197.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.82 / $146.16 / $250.75	Facility		$58.82	$146.16	$250.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $76.98 / $143.26 / $211.84	Professional		$76.98	$143.26	$211.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $119.80 / $158.47 / $217.46	Facility		$119.80	$158.47	$217.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.82 / $146.94 / $250.75	Facility		$58.82	$146.94	$250.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.10 / $154.97 / $221.19	Professional		$86.10	$154.97	$221.19
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 $86.16 / $151.30 / $233.09	Professional		$86.16	$151.30	$233.09
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 $106.39 / $163.22 / $259.27	Professional		$106.39	$163.22	$259.27