Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.02 / $2,747.00 / $7,920.26	Facility		$121.02	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.16 / $123.27 / $292.08	Professional		$78.16	$123.27	$292.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $204.82 / $715.80 / $737.28	Professional	50	$204.82	$715.80	$737.28
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 $104.81 / $180.42 / $301.72	Professional		$104.81	$180.42	$301.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.67 / $141.49 / $269.00	Professional		$112.67	$141.49	$269.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.75 / $174.79 / $302.20	Facility		$74.75	$174.79	$302.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $92.80 / $180.37 / $258.56	Professional		$92.80	$180.37	$258.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $149.99 / $213.73 / $250.58	Facility		$149.99	$213.73	$250.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.75 / $174.96 / $302.20	Facility		$74.75	$174.96	$302.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.65 / $201.91 / $296.25	Professional		$104.65	$201.91	$296.25
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 $104.88 / $186.66 / $313.62	Professional		$104.88	$186.66	$313.62
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 $164.56 / $232.56 / $342.93	Professional		$164.56	$232.56	$342.93