Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $309.03 / $6,606.93	Facility		$208.93	$309.03	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $295.12	Professional		$107.15	$144.54	$295.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $194.98 / $1,047.13	Professional	50	$85.11	$194.98	$1,047.13
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 $131.83 / $204.17 / $331.13	Professional		$131.83	$204.17	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $323.59	Professional		$173.78	$251.19	$323.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $190.55 / $309.03	Facility		$128.82	$190.55	$309.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $331.13	Professional		$154.88	$218.78	$331.13
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $154.88 / $602.56	Professional	50	$85.11	$154.88	$602.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $245.47 / $269.15	Facility		$177.83	$245.47	$269.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $181.97 / $302.00	Facility		$112.20	$181.97	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $223.87 / $331.13	Professional		$79.43	$223.87	$331.13
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 $223.87 / $275.42 / $346.74	Professional		$223.87	$275.42	$346.74
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 $147.91 / $229.09 / $338.84	Professional		$147.91	$229.09	$338.84