Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $977.24 / $6,606.93	Facility		$501.19	$977.24	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $426.58 / $812.83	Professional		$239.88	$426.58	$812.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $302.00 / $512.86 / $724.44	Professional	50	$302.00	$512.86	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $575.44 / $1,071.52	Professional		$316.23	$575.44	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $512.86 / $1,047.13	Professional		$398.11	$512.86	$1,047.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $549.54 / $1,023.29	Facility		$281.84	$549.54	$1,023.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $645.65 / $1,000.00	Professional		$363.08	$645.65	$1,000.00
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $302.00 / $512.86 / $724.44	Professional	50	$302.00	$512.86	$724.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $812.83 / $870.96	Facility		$588.84	$812.83	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $537.03 / $1,000.00	Facility		$275.42	$537.03	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $575.44 / $1,000.00	Professional		$79.43	$575.44	$1,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $912.01 / $1,148.15	Facility		$724.44	$912.01	$1,148.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $758.58 / $1,122.02	Professional		$478.63	$758.58	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,548.82 / $6,165.95	Facility		$389.05	$1,548.82	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $630.96 / $1,096.48	Professional		$380.19	$630.96	$1,096.48