Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.95 / $2,747.00 / $7,920.26	Facility		$238.95	$2,747.00	$7,920.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $514.02 / $514.02 / $514.40	Facility	50	$514.02	$514.02	$514.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.56 / $173.53 / $425.93	Professional		$105.56	$173.53	$425.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $160.44 / $408.16 / $612.24	Professional	50	$160.44	$408.16	$612.24
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 $157.04 / $271.23 / $434.71	Professional		$157.04	$271.23	$434.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.30 / $277.85 / $389.75	Professional		$223.30	$277.85	$389.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.31 / $225.10 / $428.28	Facility		$144.31	$225.10	$428.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $182.12 / $266.14 / $382.01	Professional		$182.12	$266.14	$382.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $186.13 / $310.20 / $355.01	Facility		$186.13	$310.20	$355.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.31 / $225.10 / $428.28	Facility		$144.31	$225.10	$428.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.88 / $298.10 / $426.98	Professional		$202.88	$298.10	$426.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $737.82 / $1,831.30 / $2,738.85	Facility		$737.82	$1,831.30	$2,738.85
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,106.73 / $2,746.95 / $4,108.28	Facility	50	$1,106.73	$2,746.95	$4,108.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $204.30 / $306.04 / $449.76	Professional		$204.30	$306.04	$449.76
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 $240.75 / $341.46 / $506.61	Professional		$240.75	$341.46	$506.61