Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.72 / $988.00 / $7,920.26	Facility		$227.72	$988.00	$7,920.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,020.50 / $2,020.50 / $2,020.50	Facility	50	$2,020.50	$2,020.50	$2,020.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.83 / $185.14 / $400.68	Professional		$130.83	$185.14	$400.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $220.04 / $582.30 / $953.75	Professional	50	$220.04	$582.30	$953.75
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 $158.16 / $259.58 / $370.51	Professional		$158.16	$259.58	$370.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $230.85 / $287.30 / $334.13	Professional		$230.85	$287.30	$334.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $159.19 / $248.40 / $349.96	Facility		$159.19	$248.40	$349.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $197.97 / $237.46 / $359.88	Professional		$197.97	$237.46	$359.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $174.94 / $252.48 / $278.72	Facility		$174.94	$252.48	$278.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $159.19 / $249.94 / $350.96	Facility		$159.19	$249.94	$350.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $219.24 / $267.89 / $360.02	Professional		$219.24	$267.89	$360.02
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 $223.91 / $295.38 / $384.48	Professional		$223.91	$295.38	$384.48
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 $191.00 / $273.00 / $411.94	Professional		$191.00	$273.00	$411.94