Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $602.56 / $6,606.93	Facility		$190.55	$602.56	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $204.17 / $602.56	Professional		$79.43	$204.17	$602.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $204.17 / $204.17 / $204.17	Professional	50	$204.17	$204.17	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $223.87 / $575.44	Professional		$109.65	$223.87	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $239.88 / $602.56	Professional		$147.91	$239.88	$602.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $229.09 / $501.19	Facility		$87.10	$229.09	$501.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $302.00 / $537.03	Professional		$134.90	$302.00	$537.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $371.54 / $467.74	Facility		$257.04	$371.54	$467.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $218.78 / $478.63	Facility		$87.10	$218.78	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $218.78 / $549.54	Professional		$79.43	$218.78	$549.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $3,548.13	Facility		$2,290.87	$2,884.03	$3,548.13
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $3,388.44 / $4,365.16 / $5,248.07	Facility	50	$3,388.44	$4,365.16	$5,248.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $269.15 / $562.34	Professional		$154.88	$269.15	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,311.31 / $7,413.10	Facility		$1,096.48	$3,311.31	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $245.47 / $512.86	Professional		$120.23	$245.47	$512.86