Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.51 / $234.45 / $6,505.60	Facility		$124.51	$234.45	$6,505.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.92 / $117.43 / $540.00	Professional		$58.92	$117.43	$540.00
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 $93.93 / $163.76 / $307.72	Professional		$93.93	$163.76	$307.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $163.12 / $282.70	Professional		$131.16	$163.12	$282.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.13 / $131.47 / $268.73	Facility		$71.13	$131.47	$268.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.48 / $165.94 / $264.54	Professional		$104.48	$165.94	$264.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $107.94 / $191.24 / $233.16	Facility		$107.94	$191.24	$233.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.13 / $131.76 / $295.64	Facility		$71.13	$131.76	$295.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.72 / $166.35 / $288.83	Professional		$104.72	$166.35	$288.83
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 $114.40 / $182.79 / $318.22	Professional		$114.40	$182.79	$318.22
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 $121.44 / $190.90 / $360.54	Professional		$121.44	$190.90	$360.54