Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.58 / $460.10 / $7,920.26	Facility		$205.58	$460.10	$7,920.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,429.51 / $1,429.51 / $1,429.51	Facility	50	$1,429.51	$1,429.51	$1,429.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.81 / $134.57 / $277.36	Professional		$80.81	$134.57	$277.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $517.23 / $517.23 / $517.23	Professional	50	$517.23	$517.23	$517.23
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 $119.15 / $211.61 / $372.12	Professional		$119.15	$211.61	$372.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.58 / $273.45 / $351.68	Professional		$216.58	$273.45	$351.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.02 / $186.47 / $275.83	Facility		$116.02	$186.47	$275.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $190.72 / $340.56	Professional		$150.00	$190.72	$340.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.12 / $207.69 / $292.79	Facility		$141.12	$207.69	$292.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.28 / $186.47 / $341.28	Facility		$125.28	$186.47	$341.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.48 / $253.98 / $368.98	Professional		$167.48	$253.98	$368.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $737.82 / $929.08 / $1,109.00	Facility		$737.82	$929.08	$1,109.00
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,106.73 / $1,393.62 / $1,663.50	Facility	50	$1,106.73	$1,393.62	$1,663.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.04 / $273.68 / $378.40	Professional		$190.04	$273.68	$378.40
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 $166.52 / $238.91 / $390.37	Professional		$166.52	$238.91	$390.37