Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.66 / $569.36 / $7,920.26	Facility		$231.66	$569.36	$7,920.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $854.48 / $860.31 / $4,553.22	Facility	50	$854.48	$860.31	$4,553.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.18 / $193.34 / $618.41	Professional		$103.18	$193.34	$618.41
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $98.04 / $333.09 / $1,381.00	Professional	50	$98.04	$333.09	$1,381.00
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 $161.13 / $276.77 / $522.91	Professional		$161.13	$276.77	$522.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.88 / $276.05 / $472.15	Professional		$218.88	$276.05	$472.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $143.22 / $272.00 / $456.50	Facility		$143.22	$272.00	$456.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $176.90 / $307.43 / $437.85	Professional		$176.90	$307.43	$437.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.35 / $356.54 / $387.93	Facility		$204.35	$356.54	$387.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.22 / $272.00 / $489.12	Facility		$143.22	$272.00	$489.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $197.12 / $310.54 / $495.90	Professional		$197.12	$310.54	$495.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,265.38 / $2,911.98 / $3,609.89	Facility		$2,265.38	$2,911.98	$3,609.89
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $3,398.07 / $4,367.97 / $5,414.84	Facility	50	$3,398.07	$4,367.97	$5,414.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $200.69 / $330.40 / $535.96	Professional		$200.69	$330.40	$535.96
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 $279.49 / $382.12 / $584.51	Professional		$279.49	$382.12	$584.51