Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.36 / $988.00 / $7,920.26	Facility		$74.36	$988.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $53.04 / $196.00	Professional		$33.32	$53.04	$196.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $60.55 / $68.27 / $282.00	Professional	50	$60.55	$68.27	$282.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Facility		$78.00	$78.00	$78.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.82 / $80.97 / $131.69	Professional		$48.82	$80.97	$131.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.83 / $84.30 / $120.01	Professional		$68.83	$84.30	$120.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.35 / $76.48 / $114.54	Facility		$45.35	$76.48	$114.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.04 / $79.53 / $113.27	Professional		$56.04	$79.53	$113.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.12 / $89.08 / $100.50	Facility		$57.12	$89.08	$100.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.35 / $77.37 / $127.00	Facility		$45.35	$77.37	$127.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.12 / $89.70 / $128.61	Professional		$63.12	$89.70	$128.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $737.82 / $929.08 / $1,109.00	Facility		$737.82	$929.08	$1,109.00
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,106.73 / $1,393.62 / $1,663.50	Facility	50	$1,106.73	$1,393.62	$1,663.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $93.31 / $134.65	Professional		$63.35	$93.31	$134.65
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.01 / $96.59 / $157.44	Professional		$67.01	$96.59	$157.44