Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $275.42 / $6,606.93	Facility		$97.72	$275.42	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $125.89 / $371.54	Professional		$60.26	$125.89	$371.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.54 / $630.96 / $630.96	Professional	50	$144.54	$630.96	$630.96
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 $83.18 / $158.49 / $331.13	Professional		$83.18	$158.49	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $158.49 / $354.81	Professional		$100.00	$158.49	$354.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $151.36 / $295.12	Facility		$72.44	$151.36	$295.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $194.98 / $323.59	Professional		$97.72	$194.98	$323.59
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $144.54 / $630.96 / $630.96	Professional	50	$144.54	$630.96	$630.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $234.42 / $269.15	Facility		$158.49	$234.42	$269.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $144.54 / $288.40	Facility		$69.18	$144.54	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $158.49 / $331.13	Professional		$79.43	$158.49	$331.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $186.21 / $331.13	Professional		$117.49	$186.21	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $165.96 / $309.03	Professional		$93.33	$165.96	$309.03