Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.82 / $4,684.68 / $8,728.00	Facility		$321.82	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.15 / $220.22 / $475.67	Professional		$128.15	$220.22	$475.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $194.52 / $249.42 / $282.24	Professional	50	$194.52	$249.42	$282.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.08 / $305.39 / $552.82	Professional		$173.08	$305.39	$552.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.93 / $342.94 / $506.66	Professional		$222.93	$342.94	$506.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $180.08 / $309.49 / $482.63	Facility		$180.08	$309.49	$482.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $233.23 / $328.28 / $479.85	Professional		$233.23	$328.28	$479.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $244.01 / $370.73 / $439.52	Facility		$244.01	$370.73	$439.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $187.00 / $338.10 / $564.63	Facility		$187.00	$338.10	$564.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $258.18 / $359.66 / $520.96	Professional		$258.18	$359.66	$520.96
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 $263.83 / $404.69 / $575.75	Professional		$263.83	$404.69	$575.75
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 $265.52 / $382.40 / $597.25	Professional		$265.52	$382.40	$597.25