Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $616.60 / $7,943.28	Facility		$295.12	$616.60	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $416.87	Professional		$128.82	$213.80	$416.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional	50	$1,348.96	$1,348.96	$1,348.96
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 $177.83 / $331.13 / $588.84	Professional		$177.83	$331.13	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $575.44	Professional		$234.42	$316.23	$575.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $302.00 / $549.54	Facility		$165.96	$302.00	$549.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $354.81 / $524.81	Professional		$213.80	$354.81	$524.81
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional	50	$1,348.96	$1,348.96	$1,348.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $426.58 / $478.63	Facility		$309.03	$426.58	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $295.12 / $537.03	Facility		$154.88	$295.12	$537.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $331.13 / $549.54	Professional		$79.43	$331.13	$549.54
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 $281.84 / $416.87 / $602.56	Professional		$281.84	$416.87	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $346.74 / $588.84	Professional		$213.80	$346.74	$588.84