Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.46 / $215.14 / $7,920.26	Facility		$175.46	$215.14	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.26 / $121.78 / $211.82	Professional		$88.26	$121.78	$211.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $168.47 / $168.47 / $173.79	Professional	50	$168.47	$168.47	$173.79
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 $91.17 / $139.37 / $243.67	Professional		$91.17	$139.37	$243.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.22 / $186.78 / $223.85	Professional		$131.22	$186.78	$223.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.69 / $150.52 / $261.83	Facility		$92.69	$150.52	$261.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $129.91 / $161.28 / $248.02	Professional		$129.91	$161.28	$248.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $121.13 / $176.63 / $235.60	Facility		$121.13	$176.63	$235.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.18 / $165.13 / $258.04	Facility		$98.18	$165.13	$258.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.34 / $178.29 / $235.50	Professional		$136.34	$178.29	$235.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $861.54 / $1,116.86 / $1,502.14	Facility		$861.54	$1,116.86	$1,502.14
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $677.87 / $677.87 / $677.87	Facility	50	$677.87	$677.87	$677.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $143.30 / $185.16 / $249.66	Professional		$143.30	$185.16	$249.66
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 $127.79 / $180.56 / $266.23	Professional		$127.79	$180.56	$266.23