Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.10 / $3,213.00 / $7,920.26	Facility		$198.10	$3,213.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $112.93 / $210.84	Professional		$81.00	$112.93	$210.84
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 $103.86 / $169.78 / $279.98	Professional		$103.86	$169.78	$279.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.36 / $217.40 / $245.36	Professional		$165.36	$217.40	$245.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.01 / $182.28 / $285.08	Facility		$105.01	$182.28	$285.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.10 / $176.29 / $315.14	Professional		$158.10	$176.29	$315.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $135.10 / $192.96 / $210.38	Facility		$135.10	$192.96	$210.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.81 / $202.62 / $285.08	Facility		$113.81	$202.62	$285.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.59 / $198.40 / $271.39	Professional		$154.59	$198.40	$271.39
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 $181.43 / $200.69 / $279.51	Professional		$181.43	$200.69	$279.51
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 $130.04 / $189.80 / $273.74	Professional		$130.04	$189.80	$273.74