Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $302.00 / $6,606.93	Facility		$154.88	$302.00	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $134.90 / $263.03	Professional		$75.86	$134.90	$263.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $524.81 / $524.81 / $524.81	Professional	50	$524.81	$524.81	$524.81
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 $102.33 / $190.55 / $354.81	Professional		$102.33	$190.55	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $363.08	Professional		$138.04	$199.53	$363.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $158.49 / $338.84	Facility		$81.28	$158.49	$338.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $223.87 / $346.74	Professional		$125.89	$223.87	$346.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $263.03 / $281.84	Facility		$186.21	$263.03	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $154.88 / $295.12	Facility		$85.11	$154.88	$295.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $204.17 / $338.84	Professional		$97.72	$204.17	$338.84
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 $2,570.40 / $3,311.31 / $4,168.69	Facility	50	$2,570.40	$3,311.31	$4,168.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $239.88 / $338.84	Professional		$147.91	$239.88	$338.84
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 $114.82 / $194.98 / $323.59	Professional		$114.82	$194.98	$323.59