Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.05 / $988.00 / $7,920.26	Facility		$54.05	$988.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $86.83 / $222.29	Professional		$33.36	$86.83	$222.29
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.47 / $125.21 / $125.21	Professional	50	$85.47	$125.21	$125.21
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 $52.46 / $109.46 / $276.74	Professional		$52.46	$109.46	$276.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.62 / $62.44 / $80.36	Professional		$50.62	$62.44	$80.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.58 / $73.78 / $417.95	Facility		$33.58	$73.78	$417.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $77.44 / $295.68	Professional		$42.34	$77.44	$295.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $68.68 / $327.75	Facility		$54.95	$68.68	$327.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.58 / $84.13 / $477.81	Facility		$33.58	$84.13	$477.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.62 / $69.11 / $279.50	Professional		$46.62	$69.11	$279.50
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 $46.61 / $66.65 / $112.92	Professional		$46.61	$66.65	$112.92
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 $50.44 / $82.55 / $307.68	Professional		$50.44	$82.55	$307.68