Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.46 / $988.00 / $7,920.26	Facility		$129.46	$988.00	$7,920.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,116.35 / $1,116.35 / $1,116.35	Facility	50	$1,116.35	$1,116.35	$1,116.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.59 / $123.40 / $275.95	Professional		$58.59	$123.40	$275.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $91.74 / $91.74 / $208.59	Professional	50	$91.74	$91.74	$208.59
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 $96.59 / $163.16 / $278.89	Professional		$96.59	$163.16	$278.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.36 / $152.36 / $239.73	Professional		$121.36	$152.36	$239.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.98 / $152.96 / $299.33	Facility		$79.98	$152.96	$299.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $99.76 / $165.30 / $274.81	Professional		$99.76	$165.30	$274.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $116.40 / $192.00 / $232.00	Facility		$116.40	$192.00	$232.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.98 / $162.68 / $311.93	Facility		$79.98	$162.68	$311.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.72 / $178.64 / $264.31	Professional		$110.72	$178.64	$264.31
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 / $3,919.73	Facility	50	$2,583.09	$3,302.66	$3,919.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $178.97 / $275.72	Professional		$112.00	$178.97	$275.72
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 $148.21 / $210.91 / $306.70	Professional		$148.21	$210.91	$306.70