Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.48 / $988.00 / $7,920.26	Facility		$232.48	$988.00	$7,920.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $484.50 / $484.50 / $484.50	Facility	50	$484.50	$484.50	$484.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.82 / $150.05 / $475.00	Professional		$97.82	$150.05	$475.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $162.54 / $582.30 / $855.00	Professional	50	$162.54	$582.30	$855.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.91 / $231.81 / $364.62	Professional		$139.91	$231.81	$364.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.74 / $268.47 / $329.33	Professional		$217.74	$268.47	$329.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.87 / $194.36 / $302.60	Facility		$141.87	$194.36	$302.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $183.11 / $230.40 / $353.29	Professional		$183.11	$230.40	$353.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $163.01 / $241.20 / $280.73	Facility		$163.01	$241.20	$280.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.87 / $198.62 / $352.68	Facility		$141.87	$198.62	$352.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.24 / $263.04 / $359.40	Professional		$203.24	$263.04	$359.40
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 $199.88 / $275.93 / $374.80	Professional		$199.88	$275.93	$374.80
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 $186.14 / $261.52 / $411.94	Professional		$186.14	$261.52	$411.94