Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $363.08 / $6,606.93	Facility		$123.03	$363.08	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $134.90 / $338.84	Professional		$61.66	$134.90	$338.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $208.93 / $208.93	Professional	50	$208.93	$208.93	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $162.18 / $389.05	Professional		$87.10	$162.18	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $186.21 / $457.09	Professional		$117.49	$186.21	$457.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $169.82 / $338.84	Facility		$72.44	$169.82	$338.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $213.80 / $398.11	Professional		$107.15	$213.80	$398.11
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $208.93 / $208.93	Professional	50	$208.93	$208.93	$208.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $263.03 / $323.59	Facility		$177.83	$263.03	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $158.49 / $323.59	Facility		$75.86	$158.49	$323.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $162.18 / $371.54	Professional		$79.43	$162.18	$371.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $3,548.13	Facility		$2,290.87	$2,884.03	$3,548.13
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $3,388.44 / $4,365.16 / $5,248.07	Facility	50	$3,388.44	$4,365.16	$5,248.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $199.53 / $398.11	Professional		$117.49	$199.53	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,311.31 / $7,413.10	Facility		$1,096.48	$3,311.31	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $177.83 / $331.13	Professional		$93.33	$177.83	$331.13