Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.35 / $1,128.16 / $7,920.26	Facility		$164.35	$1,128.16	$7,920.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,549.68 / $1,549.68 / $3,564.76	Facility	50	$1,549.68	$1,549.68	$3,564.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.98 / $197.18 / $716.62	Professional		$62.98	$197.18	$716.62
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $93.56 / $161.93 / $298.79	Professional	50	$93.56	$161.93	$298.79
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 $101.40 / $208.42 / $652.86	Professional		$101.40	$208.42	$652.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.15 / $237.08 / $621.57	Professional		$138.15	$237.08	$621.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.29 / $237.08 / $521.58	Facility		$91.29	$237.08	$521.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $113.21 / $308.56 / $574.29	Professional		$113.21	$308.56	$574.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $131.32 / $373.86 / $513.89	Facility		$131.32	$373.86	$513.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.29 / $271.45 / $630.35	Facility		$91.29	$271.45	$630.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $253.65 / $648.88	Professional		$125.89	$253.65	$648.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $127.54 / $226.98 / $678.48	Professional		$127.54	$226.98	$678.48
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 $272.33 / $382.35 / $668.68	Professional		$272.33	$382.35	$668.68