Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.12 / $2,747.00 / $7,920.26	Facility		$201.12	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.51 / $207.97 / $417.97	Professional		$74.51	$207.97	$417.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $220.42 / $298.08 / $298.85	Professional	50	$220.42	$298.08	$298.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.63 / $235.61 / $616.29	Professional		$120.63	$235.61	$616.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.07 / $213.49 / $556.57	Professional		$170.07	$213.49	$556.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.09 / $228.09 / $599.26	Facility		$106.09	$228.09	$599.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $135.27 / $326.06 / $543.42	Professional		$135.27	$326.06	$543.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.81 / $401.33 / $458.28	Facility		$162.81	$401.33	$458.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.09 / $315.64 / $599.26	Facility		$106.09	$315.64	$599.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.13 / $287.95 / $593.34	Professional		$151.13	$287.95	$593.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,757.70 / $2,201.77 / $2,738.85	Facility		$1,757.70	$2,201.77	$2,738.85
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $2,636.55 / $3,302.66 / $4,108.28	Facility	50	$2,636.55	$3,302.66	$4,108.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $156.02 / $277.37 / $620.48	Professional		$156.02	$277.37	$620.48
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 $295.13 / $419.31 / $645.97	Professional		$295.13	$419.31	$645.97