Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $208.93 / $5,128.61	Facility		$151.36	$208.93	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $181.97	Professional		$83.18	$112.20	$181.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $147.91 / $173.78	Professional	50	$147.91	$147.91	$173.78
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 $93.33 / $144.54 / $245.47	Professional		$93.33	$144.54	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $229.09	Professional		$120.23	$177.83	$229.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $134.90 / $245.47	Facility		$93.33	$134.90	$245.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $234.42	Professional		$123.03	$165.96	$234.42
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $147.91 / $173.78	Professional	50	$147.91	$147.91	$173.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $186.21 / $208.93	Facility		$141.25	$186.21	$208.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $131.83 / $245.47	Facility		$81.28	$131.83	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $165.96 / $234.42	Professional		$79.43	$165.96	$234.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,258.93 / $1,584.89	Facility		$870.96	$1,258.93	$1,584.89
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $676.08 / $676.08 / $676.08	Facility	50	$676.08	$676.08	$676.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $194.98 / $251.19	Professional		$151.36	$194.98	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,187.76 / $6,165.95	Facility		$389.05	$2,187.76	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $251.19	Professional		$114.82	$169.82	$251.19