Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.93 / $48.93 / $7,920.26	Facility		$42.93	$48.93	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $44.31 / $67.09	Professional		$20.30	$44.31	$67.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $14.55 / $44.36 / $85.73	Professional	50	$14.55	$44.36	$85.73
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 $31.61 / $55.76 / $80.92	Professional		$31.61	$55.76	$80.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.19 / $42.84 / $51.54	Professional		$30.19	$42.84	$51.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.11 / $40.20 / $120.35	Facility		$23.11	$40.20	$120.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.69 / $57.42 / $84.15	Professional		$31.69	$57.42	$84.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $52.66 / $101.12	Facility		$30.78	$52.66	$101.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.06 / $44.97 / $120.35	Facility		$24.06	$44.97	$120.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $48.11 / $86.46	Professional		$36.47	$48.11	$86.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $307.31 / $396.76 / $478.20	Facility		$307.31	$396.76	$478.20
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $677.87 / $677.87 / $677.87	Facility	50	$677.87	$677.87	$677.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $35.06 / $42.08 / $61.59	Professional		$35.06	$42.08	$61.59
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 $40.50 / $53.48 / $92.41	Professional		$40.50	$53.48	$92.41