Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.17 / $350.75 / $7,920.26	Facility		$127.17	$350.75	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.64 / $85.93 / $244.92	Professional		$49.64	$85.93	$244.92
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.56 / $142.82 / $437.12	Professional	50	$77.56	$142.82	$437.12
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 $76.73 / $133.15 / $243.04	Professional		$76.73	$133.15	$243.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.15 / $132.83 / $219.43	Professional		$106.15	$132.83	$219.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.59 / $127.38 / $208.33	Facility		$70.59	$127.38	$208.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.61 / $142.10 / $204.47	Professional		$86.61	$142.10	$204.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $100.17 / $164.15 / $182.91	Facility		$100.17	$164.15	$182.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.59 / $127.38 / $231.69	Facility		$70.59	$127.38	$231.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.94 / $151.44 / $234.90	Professional		$96.94	$151.44	$234.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $99.02 / $161.55 / $252.05	Professional		$99.02	$161.55	$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 $124.95 / $178.16 / $272.85	Professional		$124.95	$178.16	$272.85