Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $660.69 / $6,606.93	Facility		$147.91	$660.69	$6,606.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility	50	$1,548.82	$1,548.82	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $190.55 / $707.95	Professional		$63.10	$190.55	$707.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $218.78 / $302.00	Professional	50	$154.88	$218.78	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $194.98 / $645.65	Professional		$87.10	$194.98	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $263.03 / $676.08	Professional		$109.65	$263.03	$676.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $218.78 / $660.69	Facility		$66.07	$218.78	$660.69
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility	50	$1,548.82	$1,548.82	$1,548.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $281.84 / $616.60	Professional		$100.00	$281.84	$616.60
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $218.78 / $302.00	Professional	50	$154.88	$218.78	$302.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $407.38 / $512.86	Facility		$263.03	$407.38	$512.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $190.55 / $489.78	Facility		$72.44	$190.55	$489.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $181.97 / $630.96	Professional		$79.43	$181.97	$630.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $229.09 / $630.96	Professional		$128.82	$229.09	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $218.78 / $457.09	Professional		$102.33	$218.78	$457.09