Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.83 / $902.71 / $6,629.40	Facility		$216.83	$902.71	$6,629.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,828.94 / $4,493.05 / $9,010.14	Facility	50	$1,828.94	$4,493.05	$9,010.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $125.97 / $294.69	Professional		$64.26	$125.97	$294.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $158.16 / $186.86 / $635.89	Professional	50	$158.16	$186.86	$635.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $451.00 / $451.00	Facility		$451.00	$451.00	$451.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.48 / $175.17 / $294.26	Professional		$107.48	$175.17	$294.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.83 / $212.05 / $263.87	Professional		$147.83	$212.05	$263.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $110.91 / $185.10 / $371.35	Facility		$110.91	$185.10	$371.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $155.04 / $185.32 / $320.85	Professional		$155.04	$185.32	$320.85
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $274.42 / $274.42 / $274.42	Professional	50	$274.42	$274.42	$274.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $139.44 / $193.63 / $231.20	Facility		$139.44	$193.63	$231.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.06 / $204.60 / $371.35	Facility		$117.06	$204.60	$371.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.30 / $208.73 / $291.45	Professional		$164.30	$208.73	$291.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $872.64 / $1,136.59 / $1,341.28	Facility		$872.64	$1,136.59	$1,341.28
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $2,083.61 / $2,083.61 / $2,083.61	Facility	50	$2,083.61	$2,083.61	$2,083.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $165.44 / $216.88 / $289.48	Professional		$165.44	$216.88	$289.48
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 $148.72 / $200.21 / $295.62	Professional		$148.72	$200.21	$295.62