Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.75 / $400.35 / $7,920.26	Facility		$139.75	$400.35	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $124.07 / $329.89	Professional		$61.52	$124.07	$329.89
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 $103.59 / $173.47 / $388.59	Professional		$103.59	$173.47	$388.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.26 / $166.16 / $394.41	Professional		$133.26	$166.16	$394.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.59 / $187.74 / $316.70	Facility		$81.59	$187.74	$316.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.13 / $204.77 / $364.11	Professional		$106.13	$204.77	$364.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $134.66 / $246.56 / $322.27	Facility		$134.66	$246.56	$322.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.59 / $197.62 / $411.03	Facility		$81.59	$197.62	$411.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.81 / $198.42 / $396.41	Professional		$117.81	$198.42	$396.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,265.38 / $2,900.22 / $3,412.14	Facility		$2,265.38	$2,900.22	$3,412.14
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $3,398.07 / $4,350.33 / $5,118.21	Facility	50	$3,398.07	$4,350.33	$5,118.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $121.06 / $202.92 / $421.52	Professional		$121.06	$202.92	$421.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.15 / $264.52 / $427.81	Professional		$188.15	$264.52	$427.81