Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.11 / $2,747.00 / $7,920.26	Facility		$181.11	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $210.15 / $431.52	Professional		$77.04	$210.15	$431.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $116.09 / $630.38 / $630.38	Professional	50	$116.09	$630.38	$630.38
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 $124.20 / $240.93 / $599.46	Professional		$124.20	$240.93	$599.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.77 / $214.44 / $541.25	Professional		$170.77	$214.44	$541.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $110.01 / $236.52 / $581.00	Facility		$110.01	$236.52	$581.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $136.88 / $308.55 / $528.88	Professional		$136.88	$308.55	$528.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $161.15 / $402.74 / $446.22	Facility		$161.15	$402.74	$446.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.01 / $314.66 / $581.00	Facility		$110.01	$314.66	$581.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.31 / $290.33 / $579.25	Professional		$154.31	$290.33	$579.25
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 $156.38 / $269.24 / $614.66	Professional		$156.38	$269.24	$614.66
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 $290.41 / $417.45 / $685.82	Professional		$290.41	$417.45	$685.82