Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.44 / $2,747.00 / $7,920.26	Facility		$166.44	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $199.80 / $400.08	Professional		$79.59	$199.80	$400.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $323.33 / $323.33 / $323.33	Professional	50	$323.33	$323.33	$323.33
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 $91.05 / $178.96 / $465.95	Professional		$91.05	$178.96	$465.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.65 / $171.75 / $426.94	Professional		$125.65	$171.75	$426.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.10 / $216.27 / $429.13	Facility		$88.10	$216.27	$429.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.14 / $267.75 / $406.40	Professional		$109.14	$267.75	$406.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $145.22 / $320.93 / $370.51	Facility		$145.22	$320.93	$370.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.23 / $248.99 / $476.25	Facility		$96.23	$248.99	$476.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.24 / $212.82 / $439.12	Professional		$125.24	$212.82	$439.12
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 Professional Modifier Low / Median / High Price $123.62 / $210.85 / $485.63	Professional		$123.62	$210.85	$485.63
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 $246.24 / $338.58 / $504.77	Professional		$246.24	$338.58	$504.77