Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.58 / $718.08 / $7,920.26	Facility		$130.58	$718.08	$7,920.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $359.04 / $397.81 / $1,844.86	Facility	50	$359.04	$397.81	$1,844.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $98.17 / $348.15	Professional		$57.53	$98.17	$348.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.08 / $139.91 / $452.01	Professional	50	$85.08	$139.91	$452.01
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 $87.08 / $151.54 / $261.32	Professional		$87.08	$151.54	$261.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.59 / $153.27 / $237.16	Professional		$122.59	$153.27	$237.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.81 / $136.13 / $224.93	Facility		$80.81	$136.13	$224.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.34 / $156.38 / $222.73	Professional		$100.34	$156.38	$222.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $109.34 / $177.55 / $195.64	Facility		$109.34	$177.55	$195.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.81 / $136.59 / $247.99	Facility		$80.81	$136.59	$247.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.94 / $167.55 / $251.43	Professional		$110.94	$167.55	$251.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.64 / $177.75 / $270.79	Professional		$112.64	$177.75	$270.79
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 $137.19 / $191.60 / $299.39	Professional		$137.19	$191.60	$299.39