Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.94 / $2,747.00 / $7,920.26	Facility		$122.94	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.52 / $122.79 / $275.58	Professional		$64.52	$122.79	$275.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $326.91 / $326.91 / $326.91	Professional	50	$326.91	$326.91	$326.91
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 $91.91 / $157.11 / $254.70	Professional		$91.91	$157.11	$254.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.14 / $140.93 / $207.77	Professional		$114.14	$140.93	$207.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.77 / $147.35 / $297.37	Facility		$76.77	$147.35	$297.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.12 / $146.04 / $251.25	Professional		$95.12	$146.04	$251.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $113.93 / $168.48 / $273.14	Facility		$113.93	$168.48	$273.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.77 / $154.80 / $297.37	Facility		$76.77	$154.80	$297.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.60 / $162.44 / $245.92	Professional		$105.60	$162.44	$245.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,722.06 / $2,201.77 / $2,738.85	Facility		$1,722.06	$2,201.77	$2,738.85
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $2,583.09 / $3,302.66 / $4,108.28	Facility	50	$2,583.09	$3,302.66	$4,108.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $106.10 / $163.71 / $246.35	Professional		$106.10	$163.71	$246.35
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 $128.26 / $193.20 / $287.70	Professional		$128.26	$193.20	$287.70