Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.83 / $4,684.68 / $8,728.00	Facility		$282.83	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.46 / $212.93 / $346.37	Professional		$155.46	$212.93	$346.37
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $98.86 / $324.68 / $403.28	Professional	50	$98.86	$324.68	$403.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $451.00 / $451.00	Facility		$451.00	$451.00	$451.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.59 / $240.27 / $403.98	Professional		$152.59	$240.27	$403.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.25 / $300.27 / $375.21	Professional		$194.25	$300.27	$375.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.16 / $254.68 / $487.83	Facility		$158.16	$254.68	$487.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $210.61 / $282.24 / $412.29	Professional		$210.61	$282.24	$412.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $215.60 / $314.23 / $446.05	Facility		$215.60	$314.23	$446.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $167.64 / $281.82 / $669.21	Facility		$167.64	$281.82	$669.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $228.16 / $300.99 / $407.15	Professional		$228.16	$300.99	$407.15
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 $231.87 / $310.10 / $419.13	Professional		$231.87	$310.10	$419.13
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 $228.46 / $315.69 / $497.14	Professional		$228.46	$315.69	$497.14