Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $380.19 / $6,606.93	Facility		$234.42	$380.19	$6,606.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	50	$354.81	$354.81	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $489.78	Professional		$114.82	$173.78	$489.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $87.10 / $234.42 / $707.95	Professional	50	$87.10	$234.42	$707.95
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 $141.25 / $213.80 / $363.08	Professional		$141.25	$213.80	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $346.74	Professional		$169.82	$251.19	$346.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $204.17 / $354.81	Facility		$131.83	$204.17	$354.81
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	50	$354.81	$354.81	$354.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $234.42 / $371.54	Professional		$154.88	$234.42	$371.54
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $66.07 / $234.42 / $630.96	Professional	50	$66.07	$234.42	$630.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $281.84 / $295.12	Facility		$204.17	$281.84	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $204.17 / $331.13	Facility		$120.23	$204.17	$331.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $239.88 / $346.74	Professional		$79.43	$239.88	$346.74
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 Facility Modifier 50 Low / Median / High Price $1,071.52 / $1,380.38 / $1,698.24	Facility	50	$1,071.52	$1,380.38	$1,698.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $288.40 / $371.54	Professional		$223.87	$288.40	$371.54
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 $158.49 / $245.47 / $371.54	Professional		$158.49	$245.47	$371.54