Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.82 / $988.00 / $7,920.26	Facility		$132.82	$988.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.59 / $94.18 / $305.05	Professional		$58.59	$94.18	$305.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $130.26 / $159.91 / $457.57	Professional	50	$130.26	$159.91	$457.57
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 $88.13 / $153.38 / $262.07	Professional		$88.13	$153.38	$262.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.53 / $154.56 / $236.61	Professional		$123.53	$154.56	$236.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.29 / $136.63 / $225.76	Facility		$82.29	$136.63	$225.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.33 / $155.84 / $221.96	Professional		$101.33	$155.84	$221.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $111.39 / $178.22 / $196.31	Facility		$111.39	$178.22	$196.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.29 / $137.99 / $249.71	Facility		$82.29	$137.99	$249.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.42 / $168.96 / $253.17	Professional		$112.42	$168.96	$253.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $114.56 / $178.97 / $271.73	Professional		$114.56	$178.97	$271.73
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 $139.75 / $196.37 / $313.47	Professional		$139.75	$196.37	$313.47