Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $630.96 / $6,606.93	Facility		$269.15	$630.96	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $234.42 / $724.44	Professional		$114.82	$234.42	$724.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $158.49 / $1,202.26 / $1,949.84	Professional	50	$158.49	$1,202.26	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $309.03 / $616.60	Professional		$158.49	$309.03	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $660.69	Professional		$213.80	$316.23	$660.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $295.12 / $549.54	Facility		$138.04	$295.12	$549.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $295.12 / $588.84	Professional		$173.78	$295.12	$588.84
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $158.49 / $389.05 / $1,258.93	Professional	50	$158.49	$389.05	$1,258.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $407.38 / $501.19	Facility		$213.80	$407.38	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $288.40 / $524.81	Facility		$138.04	$288.40	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $281.84 / $575.44	Professional		$79.43	$281.84	$575.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $3,630.78	Facility		$2,290.87	$2,884.03	$3,630.78
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $3,388.44 / $4,365.16 / $5,495.41	Facility	50	$3,388.44	$4,365.16	$5,495.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $616.60	Professional		$213.80	$323.59	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,311.31 / $7,413.10	Facility		$1,096.48	$3,311.31	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $288.40 / $588.84	Professional		$169.82	$288.40	$588.84