Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $354.81 / $6,606.93	Facility		$125.89	$354.81	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $134.90 / $363.08	Professional		$67.61	$134.90	$363.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $338.84 / $338.84 / $1,230.27	Professional	50	$338.84	$338.84	$1,230.27
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 $95.50 / $173.78 / $380.19	Professional		$95.50	$173.78	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $426.58	Professional		$125.89	$186.21	$426.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $165.96 / $331.13	Facility		$70.79	$165.96	$331.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $208.93 / $371.54	Professional		$109.65	$208.93	$371.54
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $338.84 / $338.84 / $338.84	Professional	50	$338.84	$338.84	$338.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $257.04 / $316.23	Facility		$186.21	$257.04	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $158.49 / $316.23	Facility		$72.44	$158.49	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $181.97 / $380.19	Professional		$79.43	$181.97	$380.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $2,754.23	Facility		$1,737.80	$2,187.76	$2,754.23
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $2,570.40 / $3,311.31 / $4,168.69	Facility	50	$2,570.40	$3,311.31	$4,168.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $213.80 / $398.11	Professional		$112.20	$213.80	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,951.21 / $7,413.10	Facility		$1,096.48	$2,951.21	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $173.78 / $316.23	Professional		$91.20	$173.78	$316.23