Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.28 / $988.00 / $7,920.26	Facility		$235.28	$988.00	$7,920.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $351.00 / $351.00 / $351.00	Facility	50	$351.00	$351.00	$351.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.78 / $180.86 / $379.32	Professional		$103.78	$180.86	$379.32
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $138.61 / $234.60 / $1,159.50	Professional	50	$138.61	$234.60	$1,159.50
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 $137.96 / $224.12 / $366.24	Professional		$137.96	$224.12	$366.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.06 / $274.55 / $338.06	Professional		$192.06	$274.55	$338.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.69 / $236.04 / $356.90	Facility		$136.69	$236.04	$356.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $187.17 / $232.05 / $370.28	Professional		$187.17	$232.05	$370.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $171.65 / $273.14 / $292.39	Facility		$171.65	$273.14	$292.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.72 / $247.84 / $373.27	Facility		$147.72	$247.84	$373.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $198.99 / $269.70 / $360.34	Professional		$198.99	$269.70	$360.34
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 $212.80 / $281.62 / $382.80	Professional		$212.80	$281.62	$382.80
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 $187.64 / $276.05 / $430.09	Professional		$187.64	$276.05	$430.09