Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.34 / $735.66 / $4,684.68	Facility		$92.34	$735.66	$4,684.68
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $706.14 / $706.14 / $796.62	Facility	50	$706.14	$706.14	$796.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.11 / $99.77 / $348.00	Professional		$57.11	$99.77	$348.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $80.92 / $364.50 / $624.00	Professional	50	$80.92	$364.50	$624.00
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 $68.95 / $122.29 / $204.69	Professional		$68.95	$122.29	$204.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.85 / $107.94 / $181.48	Professional		$85.85	$107.94	$181.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.11 / $116.89 / $216.72	Facility		$57.11	$116.89	$216.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.19 / $125.67 / $180.05	Professional		$70.19	$125.67	$180.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $145.75 / $155.72	Facility		$87.10	$145.75	$155.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.11 / $119.90 / $216.72	Facility		$57.11	$119.90	$216.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.36 / $130.66 / $198.88	Professional		$79.36	$130.66	$198.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,689.91 / $2,086.37 / $2,613.15	Facility		$1,689.91	$2,086.37	$2,613.15
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $2,534.87 / $3,129.56 / $3,919.73	Facility	50	$2,534.87	$3,129.56	$3,919.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $80.28 / $133.72 / $212.24	Professional		$80.28	$133.72	$212.24
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 $113.37 / $161.00 / $232.07	Professional		$113.37	$161.00	$232.07