Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.80 / $779.40 / $7,920.26	Facility		$257.80	$779.40	$7,920.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $739.80 / $739.80 / $3,036.02	Facility	50	$739.80	$739.80	$3,036.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.15 / $270.54 / $1,079.50	Professional		$120.15	$270.54	$1,079.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $171.84 / $391.38 / $1,702.12	Professional	50	$171.84	$391.38	$1,702.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.29 / $341.50 / $713.01	Professional		$200.29	$341.50	$713.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.58 / $342.22 / $651.42	Professional		$271.58	$342.22	$651.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.60 / $374.87 / $584.79	Facility		$177.60	$374.87	$584.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $219.82 / $387.44 / $602.02	Professional		$219.82	$387.44	$602.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $255.20 / $456.00 / $534.66	Facility		$255.20	$456.00	$534.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.60 / $376.38 / $717.95	Facility		$177.60	$376.38	$717.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $242.88 / $389.94 / $687.28	Professional		$242.88	$389.94	$687.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,265.38 / $2,900.22 / $3,412.14	Facility		$2,265.38	$2,900.22	$3,412.14
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $3,398.07 / $4,350.33 / $5,118.21	Facility	50	$3,398.07	$4,350.33	$5,118.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $248.96 / $410.33 / $738.36	Professional		$248.96	$410.33	$738.36
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 $363.00 / $493.68 / $783.70	Professional		$363.00	$493.68	$783.70