Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $75.86 / $6,606.93	Facility		$50.12	$75.86	$6,606.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $630.96 / $630.96 / $630.96	Facility	50	$630.96	$630.96	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $83.18 / $213.80	Professional		$28.18	$83.18	$213.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $125.89 / $208.93	Professional	50	$125.89	$125.89	$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 $34.67 / $63.10 / $186.21	Professional		$34.67	$63.10	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $57.54 / $85.11	Professional		$40.74	$57.54	$85.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $66.07 / $416.87	Facility		$30.20	$66.07	$416.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $85.11 / $346.74	Professional		$42.66	$85.11	$346.74
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $125.89 / $125.89	Professional	50	$125.89	$125.89	$125.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $66.07 / $288.40	Facility		$54.95	$66.07	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $67.61 / $416.87	Facility		$31.62	$67.61	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $74.13 / $288.40	Professional		$46.77	$74.13	$288.40
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 $45.71 / $64.57 / $194.98	Professional		$45.71	$64.57	$194.98
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 $39.81 / $66.07 / $263.03	Professional		$39.81	$66.07	$263.03