Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $501.19 / $6,606.93	Facility		$234.42	$501.19	$6,606.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $851.14 / $851.14 / $4,570.88	Facility	50	$851.14	$851.14	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $190.55 / $616.60	Professional		$102.33	$190.55	$616.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $162.18 / $346.74 / $1,698.24	Professional	50	$162.18	$346.74	$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 $138.04 / $263.03 / $489.78	Professional		$138.04	$263.03	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $512.86	Professional		$181.97	$275.42	$512.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $223.87 / $549.54	Facility		$104.71	$223.87	$549.54
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $851.14 / $851.14 / $4,570.88	Facility	50	$851.14	$851.14	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $302.00 / $478.63	Professional		$165.96	$302.00	$478.63
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $158.49 / $346.74 / $891.25	Professional	50	$158.49	$346.74	$891.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $363.08 / $389.05	Facility		$257.04	$363.08	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $223.87 / $426.58	Facility		$114.82	$223.87	$426.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $263.03 / $478.63	Professional		$79.43	$263.03	$478.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $3,630.78	Facility		$2,290.87	$2,884.03	$3,630.78
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $3,388.44 / $4,365.16 / $5,495.41	Facility	50	$3,388.44	$4,365.16	$5,495.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $489.78	Professional		$199.53	$316.23	$489.78
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 $154.88 / $269.15 / $457.09	Professional		$154.88	$269.15	$457.09