Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.13 / $395.96 / $7,920.26	Facility		$141.13	$395.96	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.18 / $136.97 / $648.05	Professional		$68.18	$136.97	$648.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $342.67 / $342.67 / $342.67	Professional	50	$342.67	$342.67	$342.67
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 $107.50 / $187.24 / $399.18	Professional		$107.50	$187.24	$399.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.69 / $186.03 / $383.53	Professional		$148.69	$186.03	$383.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.55 / $180.75 / $324.00	Facility		$72.55	$180.75	$324.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $118.78 / $220.62 / $355.74	Professional		$118.78	$220.62	$355.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $140.32 / $252.12 / $318.92	Facility		$140.32	$252.12	$318.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.55 / $180.75 / $372.09	Facility		$72.55	$180.75	$372.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.19 / $210.03 / $382.21	Professional		$112.19	$210.03	$382.21
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 $133.47 / $231.28 / $424.16	Professional		$133.47	$231.28	$424.16
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 $182.07 / $260.25 / $416.22	Professional		$182.07	$260.25	$416.22