Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $562.34 / $6,606.93	Facility		$181.97	$562.34	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $208.93 / $524.81	Professional		$75.86	$208.93	$524.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $218.78 / $295.12 / $912.01	Professional	50	$218.78	$295.12	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $218.78 / $588.84	Professional		$104.71	$218.78	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $239.88 / $602.56	Professional		$138.04	$239.88	$602.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $223.87 / $676.08	Facility		$79.43	$223.87	$676.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $263.03 / $588.84	Professional		$125.89	$263.03	$588.84
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $218.78 / $295.12 / $309.03	Professional	50	$218.78	$295.12	$309.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $446.68 / $457.09	Facility		$295.12	$446.68	$457.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $204.17 / $501.19	Facility		$85.11	$204.17	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $229.09 / $575.44	Professional		$123.03	$229.09	$575.44
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 $2,630.27 / $3,311.31 / $4,168.69	Facility	50	$2,630.27	$3,311.31	$4,168.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $575.44	Professional		$151.36	$263.03	$575.44
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 $117.49 / $251.19 / $512.86	Professional		$117.49	$251.19	$512.86