Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $407.38 / $6,606.93	Facility		$190.55	$407.38	$6,606.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility	50	$7,943.28	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $177.83 / $407.38	Professional		$97.72	$177.83	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $223.87 / $446.68	Professional		$117.49	$223.87	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $436.52	Professional		$151.36	$208.93	$436.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $223.87 / $416.87	Facility		$104.71	$223.87	$416.87
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility	50	$7,943.28	$7,943.28	$7,943.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $269.15 / $407.38	Professional		$138.04	$269.15	$407.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $323.59 / $363.08	Facility		$234.42	$323.59	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $204.17 / $407.38	Facility		$100.00	$204.17	$407.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $218.78 / $416.87	Professional		$79.43	$218.78	$416.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $7,413.10 / $8,709.64	Facility		$5,495.41	$7,413.10	$8,709.64
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $8,128.31 / $10,964.78 / $13,182.57	Facility	50	$8,128.31	$10,964.78	$13,182.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $295.12 / $457.09	Professional		$181.97	$295.12	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $10,232.93	Facility		$1,096.48	$3,715.35	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $239.88 / $446.68	Professional		$141.25	$239.88	$446.68