Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.12 / $88.56 / $7,920.26	Facility		$79.12	$88.56	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $59.98 / $113.13	Professional		$43.54	$59.98	$113.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $86.90 / $86.90 / $122.83	Professional	50	$86.90	$86.90	$122.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.37 / $86.80 / $122.16	Professional		$48.37	$86.80	$122.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.87 / $78.56 / $88.76	Professional		$57.87	$78.56	$88.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $66.94 / $134.94	Facility		$40.11	$66.94	$134.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.08 / $82.62 / $115.89	Professional		$59.08	$82.62	$115.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $62.66 / $82.75 / $133.33	Facility		$62.66	$82.75	$133.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.27 / $72.72 / $130.31	Facility		$45.27	$72.72	$130.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.68 / $79.56 / $115.91	Professional		$66.68	$79.56	$115.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $861.54 / $1,116.86 / $1,502.14	Facility		$861.54	$1,116.86	$1,502.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $65.19 / $73.80 / $108.02	Professional		$65.19	$73.80	$108.02
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 $66.30 / $88.41 / $133.13	Professional		$66.30	$88.41	$133.13