Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.56 / $4,684.68 / $8,728.00	Facility		$259.56	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.70 / $136.50 / $296.94	Professional		$100.70	$136.50	$296.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $150.62 / $195.48 / $931.50	Professional	50	$150.62	$195.48	$931.50
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 $126.27 / $202.27 / $341.58	Professional		$126.27	$202.27	$341.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.07 / $261.67 / $311.87	Professional		$193.07	$261.67	$311.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.87 / $208.36 / $325.81	Facility		$127.87	$208.36	$325.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $185.64 / $212.86 / $372.41	Professional		$185.64	$212.86	$372.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $159.40 / $241.87 / $267.33	Facility		$159.40	$241.87	$267.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.52 / $223.08 / $339.81	Facility		$136.52	$223.08	$339.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.37 / $246.68 / $334.21	Professional		$183.37	$246.68	$334.21
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 $212.80 / $256.37 / $348.48	Professional		$212.80	$256.37	$348.48
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 $166.42 / $238.98 / $364.06	Professional		$166.42	$238.98	$364.06