Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.93 / $1,219.00 / $6,629.40	Facility		$181.93	$1,219.00	$6,629.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $653.40 / $3,596.18 / $7,532.16	Facility	50	$653.40	$3,596.18	$7,532.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.29 / $175.23 / $535.70	Professional		$87.29	$175.23	$535.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $82.96 / $271.77 / $1,023.11	Professional	50	$82.96	$271.77	$1,023.11
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 $138.00 / $239.97 / $482.66	Professional		$138.00	$239.97	$482.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.72 / $238.43 / $437.10	Professional		$188.72	$238.43	$437.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.74 / $250.52 / $415.00	Facility		$122.74	$250.52	$415.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $150.13 / $281.30 / $404.39	Professional		$150.13	$281.30	$404.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $174.20 / $324.95 / $357.11	Facility		$174.20	$324.95	$357.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.74 / $250.52 / $452.22	Facility		$122.74	$250.52	$452.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.21 / $267.51 / $458.49	Professional		$168.21	$267.51	$458.49
Providence Facility/Professional Professional Modifier 80 Low / Median / High Price $51.34 / $56.69 / $79.34	Professional	80	$51.34	$56.69	$79.34
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 $172.86 / $284.57 / $491.93	Professional		$172.86	$284.57	$491.93
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 $254.43 / $350.65 / $560.69	Professional		$254.43	$350.65	$560.69