Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.14 / $271.70 / $7,920.26	Facility		$231.14	$271.70	$7,920.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,230.00 / $10,230.00 / $10,230.00	Facility	50	$10,230.00	$10,230.00	$10,230.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.68 / $147.66 / $296.58	Professional		$106.68	$147.66	$296.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $172.38 / $172.38 / $172.38	Professional	50	$172.38	$172.38	$172.38
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 $131.06 / $211.54 / $356.56	Professional		$131.06	$211.54	$356.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.25 / $270.10 / $314.62	Professional		$194.25	$270.10	$314.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.66 / $211.68 / $340.62	Facility		$131.66	$211.68	$340.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $192.78 / $215.18 / $364.98	Professional		$192.78	$215.18	$364.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $171.52 / $243.21 / $270.01	Facility		$171.52	$243.21	$270.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.97 / $236.94 / $344.96	Facility		$145.97	$236.94	$344.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.09 / $252.10 / $338.41	Professional		$191.09	$252.10	$338.41
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 $220.80 / $260.25 / $353.76	Professional		$220.80	$260.25	$353.76
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.72 / $248.82 / $370.96	Professional		$171.72	$248.82	$370.96