Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.46 / $884.40 / $7,920.26	Facility		$190.46	$884.40	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $132.06 / $324.36	Professional		$64.41	$132.06	$324.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $155.43 / $155.43 / $155.43	Professional	50	$155.43	$155.43	$155.43
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 $112.10 / $198.43 / $393.31	Professional		$112.10	$198.43	$393.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.61 / $200.92 / $355.36	Professional		$158.61	$200.92	$355.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.70 / $204.56 / $315.35	Facility		$104.70	$204.56	$315.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $122.22 / $208.22 / $328.39	Professional		$122.22	$208.22	$328.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $140.69 / $240.53 / $294.80	Facility		$140.69	$240.53	$294.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.70 / $207.51 / $446.15	Facility		$104.70	$207.51	$446.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.91 / $224.44 / $377.85	Professional		$139.91	$224.44	$377.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,265.38 / $2,900.22 / $3,412.14	Facility		$2,265.38	$2,900.22	$3,412.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $143.58 / $241.27 / $407.60	Professional		$143.58	$241.27	$407.60
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 $185.64 / $266.26 / $425.96	Professional		$185.64	$266.26	$425.96