Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.30 / $4,283.46 / $8,728.00	Facility		$104.30	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.22 / $83.14 / $156.81	Professional		$56.22	$83.14	$156.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $108.51 / $225.04 / $225.04	Professional	50	$108.51	$225.04	$225.04
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 $70.25 / $123.48 / $173.86	Professional		$70.25	$123.48	$173.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.14 / $104.44 / $118.48	Professional		$75.14	$104.44	$118.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.33 / $84.32 / $214.14	Facility		$53.33	$84.32	$214.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $125.40 / $161.28	Professional		$78.68	$125.40	$161.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $83.54 / $115.21 / $192.28	Facility		$83.54	$115.21	$192.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.19 / $92.51 / $214.14	Facility		$60.19	$92.51	$214.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.71 / $110.22 / $167.64	Professional		$88.71	$110.22	$167.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $722.10 / $904.54 / $1,153.73	Facility		$722.10	$904.54	$1,153.73
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,083.15 / $1,356.81 / $1,730.60	Facility	50	$1,083.15	$1,356.81	$1,730.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $85.49 / $99.05 / $145.81	Professional		$85.49	$99.05	$145.81
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 $93.12 / $129.05 / $185.34	Professional		$93.12	$129.05	$185.34