Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.76 / $548.91 / $7,447.53	Facility		$112.76	$548.91	$7,447.53
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $264.56 / $463.30 / $1,323.13	Facility	50	$264.56	$463.30	$1,323.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.94 / $93.00 / $474.05	Professional		$48.94	$93.00	$474.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $70.41 / $148.51 / $430.14	Professional	50	$70.41	$148.51	$430.14
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 $77.00 / $131.30 / $243.19	Professional		$77.00	$131.30	$243.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.96 / $131.19 / $221.34	Professional		$104.96	$131.19	$221.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.61 / $127.38 / $207.50	Facility		$69.61	$127.38	$207.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.05 / $142.10 / $206.75	Professional		$86.05	$142.10	$206.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $97.60 / $162.21 / $182.91	Facility		$97.60	$162.21	$182.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.61 / $127.38 / $231.69	Facility		$69.61	$127.38	$231.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $148.60 / $234.90	Professional		$95.64	$148.60	$234.90
Providence Facility/Professional Professional Modifier 80 Low / Median / High Price $26.08 / $28.51 / $39.29	Professional	80	$26.08	$28.51	$39.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.09 / $160.47 / $252.05	Professional		$97.09	$160.47	$252.05
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 $123.97 / $175.44 / $279.73	Professional		$123.97	$175.44	$279.73