Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $776.25 / $6,606.93	Facility		$295.12	$776.25	$6,606.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $741.31 / $741.31 / $3,019.95	Facility	50	$741.31	$741.31	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $263.03 / $1,023.29	Professional		$123.03	$263.03	$1,023.29
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $1,096.48 / $1,698.24	Professional	50	$251.19	$1,096.48	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $323.59 / $676.08	Professional		$169.82	$323.59	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $707.95	Professional		$223.87	$338.84	$707.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $316.23 / $660.69	Facility		$134.90	$316.23	$660.69
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $741.31 / $741.31 / $3,019.95	Facility	50	$741.31	$741.31	$3,019.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $389.05 / $630.96	Professional		$208.93	$389.05	$630.96
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $562.34 / $1,318.26	Professional	50	$251.19	$562.34	$1,318.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $457.09 / $537.03	Facility		$331.13	$457.09	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $295.12 / $588.84	Facility		$134.90	$295.12	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $331.13 / $660.69	Professional		$79.43	$331.13	$660.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $3,548.13	Facility		$2,290.87	$2,884.03	$3,548.13
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $3,388.44 / $4,365.16 / $5,248.07	Facility	50	$3,388.44	$4,365.16	$5,248.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $389.05 / $660.69	Professional		$245.47	$389.05	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,311.31 / $7,413.10	Facility		$1,096.48	$3,311.31	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $346.74 / $616.60	Professional		$194.98	$346.74	$616.60