Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.21 / $988.00 / $7,920.26	Facility		$125.21	$988.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.54 / $125.63 / $344.90	Professional		$60.54	$125.63	$344.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.25 / $144.25 / $625.00	Professional	50	$144.25	$144.25	$625.00
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 $97.62 / $169.25 / $360.54	Professional		$97.62	$169.25	$360.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.09 / $158.91 / $329.12	Professional		$127.09	$158.91	$329.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.68 / $179.91 / $279.64	Facility		$83.68	$179.91	$279.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.16 / $194.57 / $304.82	Professional		$104.16	$194.57	$304.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $127.07 / $220.40 / $270.68	Facility		$127.07	$220.40	$270.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.68 / $189.93 / $344.96	Facility		$83.68	$189.93	$344.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.84 / $189.15 / $344.96	Professional		$115.84	$189.15	$344.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.18 / $192.91 / $373.86	Professional		$117.18	$192.91	$373.86
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 $176.17 / $245.47 / $389.29	Professional		$176.17	$245.47	$389.29