Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $724.44 / $7,943.28	Facility		$316.23	$724.44	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $251.19 / $831.76	Professional		$141.25	$251.19	$831.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $302.00 / $338.84 / $912.01	Professional	50	$302.00	$338.84	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $363.08 / $707.95	Professional		$194.98	$363.08	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $676.08	Professional		$251.19	$323.59	$676.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $346.74 / $660.69	Facility		$173.78	$346.74	$660.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $407.38 / $645.65	Professional		$223.87	$407.38	$645.65
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $338.84 / $380.19 / $1,202.26	Professional	50	$338.84	$380.19	$1,202.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $524.81 / $562.34	Facility		$354.81	$524.81	$562.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $316.23 / $645.65	Facility		$162.18	$316.23	$645.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $354.81 / $645.65	Professional		$79.43	$354.81	$645.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,162.28 / $3,801.89	Facility		$2,290.87	$3,162.28	$3,801.89
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $3,388.44 / $4,786.30 / $5,623.41	Facility	50	$3,388.44	$4,786.30	$5,623.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $724.44	Professional		$302.00	$467.74	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,897.79 / $7,413.10	Facility		$1,698.24	$4,897.79	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $389.05 / $707.95	Professional		$229.09	$389.05	$707.95