Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.08 / $287.08 / $7,920.26	Facility		$110.08	$287.08	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.78 / $130.27 / $270.42	Professional		$73.78	$130.27	$270.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $494.67 / $494.67 / $494.67	Professional	50	$494.67	$494.67	$494.67
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 $103.44 / $171.28 / $286.47	Professional		$103.44	$171.28	$286.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.35 / $142.30 / $238.26	Professional		$113.35	$142.30	$238.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.78 / $158.63 / $305.17	Facility		$73.78	$158.63	$305.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.53 / $161.13 / $256.68	Professional		$95.53	$161.13	$256.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $133.38 / $191.51 / $261.35	Facility		$133.38	$191.51	$261.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.78 / $171.55 / $332.00	Facility		$73.78	$171.55	$332.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.09 / $182.25 / $268.45	Professional		$104.09	$182.25	$268.45
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 $104.88 / $181.43 / $279.51	Professional		$104.88	$181.43	$279.51
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 $138.78 / $205.16 / $305.63	Professional		$138.78	$205.16	$305.63