Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $363.08 / $6,606.93	Facility		$257.04	$363.08	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $371.54	Professional		$138.04	$199.53	$371.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $100.00 / $323.59 / $407.38	Professional	50	$100.00	$323.59	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $407.38	Professional		$158.49	$239.88	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $389.05	Professional		$186.21	$269.15	$389.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $239.88 / $478.63	Facility		$144.54	$239.88	$478.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $416.87	Professional		$194.98	$281.84	$416.87
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $100.00 / $323.59 / $562.34	Professional	50	$100.00	$323.59	$562.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $316.23 / $389.05	Facility		$251.19	$316.23	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $234.42 / $436.52	Facility		$138.04	$234.42	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $281.84 / $407.38	Professional		$79.43	$281.84	$407.38
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 $245.47 / $316.23 / $416.87	Professional		$245.47	$316.23	$416.87
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 $194.98 / $295.12 / $446.68	Professional		$194.98	$295.12	$446.68