Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.59 / $722.12 / $7,920.26	Facility		$238.59	$722.12	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.81 / $232.99 / $622.75	Professional		$148.81	$232.99	$622.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $158.19 / $1,212.03 / $1,212.03	Professional	50	$158.19	$1,212.03	$1,212.03
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 $145.87 / $266.89 / $667.29	Professional		$145.87	$266.89	$667.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $250.27 / $316.50 / $613.58	Professional		$250.27	$316.50	$613.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $161.04 / $330.65 / $513.84	Facility		$161.04	$330.65	$513.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $174.84 / $292.73 / $566.29	Professional		$174.84	$292.73	$566.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $181.69 / $401.50 / $499.82	Facility		$181.69	$401.50	$499.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.04 / $346.24 / $596.09	Facility		$161.04	$346.24	$596.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $205.62 / $311.50 / $632.41	Professional		$205.62	$311.50	$632.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,265.38 / $2,911.98 / $3,609.89	Facility		$2,265.38	$2,911.98	$3,609.89
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $3,398.07 / $4,367.97 / $5,414.84	Facility	50	$3,398.07	$4,367.97	$5,414.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $226.59 / $346.73 / $688.28	Professional		$226.59	$346.73	$688.28
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 $250.90 / $465.30 / $763.54	Professional		$250.90	$465.30	$763.54