Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $245.47 / $6,606.93	Facility		$123.03	$245.47	$6,606.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility	50	$1,000.00	$1,000.00	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $125.89 / $263.03	Professional		$53.70	$125.89	$263.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $181.97 / $223.87 / $436.52	Professional	50	$181.97	$223.87	$436.52
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 $81.28 / $144.54 / $275.42	Professional		$81.28	$144.54	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $239.88	Professional		$93.33	$141.25	$239.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $134.90 / $302.00	Facility		$69.18	$134.90	$302.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $162.18 / $257.04	Professional		$91.20	$162.18	$257.04
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $181.97 / $323.59 / $436.52	Professional	50	$181.97	$323.59	$436.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $190.55 / $263.03	Facility		$162.18	$190.55	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $134.90 / $275.42	Facility		$70.79	$134.90	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $154.88 / $269.15	Professional		$79.43	$154.88	$269.15
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 $104.71 / $173.78 / $257.04	Professional		$104.71	$173.78	$257.04
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 $87.10 / $147.91 / $257.04	Professional		$87.10	$147.91	$257.04