Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $154.88 / $309.03	Facility		$102.33	$154.88	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $144.54	Professional		$50.12	$70.79	$144.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $107.15 / $107.15 / $107.15	Professional	50	$107.15	$107.15	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $95.50 / $169.82	Professional		$61.66	$95.50	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $162.18	Professional		$70.79	$109.65	$162.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $93.33 / $162.18	Facility		$54.95	$93.33	$162.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $162.18	Professional		$69.18	$109.65	$162.18
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $107.15 / $107.15 / $107.15	Professional	50	$107.15	$107.15	$107.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $128.82 / $134.90	Facility		$95.50	$128.82	$134.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $91.20 / $158.49	Facility		$53.70	$91.20	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $158.49	Professional		$75.86	$109.65	$158.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $398.11 / $478.63	Facility		$309.03	$398.11	$478.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $173.78	Professional		$95.50	$128.82	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,071.52 / $6,165.95	Facility		$389.05	$1,071.52	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $169.82	Professional		$75.86	$112.20	$169.82