Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.63 / $237.50 / $393.22	Facility		$93.63	$237.50	$393.22
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $144.00 / $144.00 / $144.00	Facility	50	$144.00	$144.00	$144.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.68 / $122.50 / $411.54	Professional		$53.68	$122.50	$411.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $183.75 / $323.74 / $647.20	Professional	50	$183.75	$323.74	$647.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $129.58 / $226.47	Professional		$78.06	$129.58	$226.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.08 / $129.57 / $196.77	Professional		$91.08	$129.57	$196.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.23 / $126.61 / $260.01	Facility		$67.23	$126.61	$260.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.30 / $136.30 / $237.72	Professional		$78.30	$136.30	$237.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $91.12 / $154.77 / $223.72	Facility		$91.12	$154.77	$223.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.23 / $154.37 / $260.01	Facility		$67.23	$154.37	$260.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.24 / $142.82 / $224.92	Professional		$90.24	$142.82	$224.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $307.31 / $396.76 / $478.20	Facility		$307.31	$396.76	$478.20
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 $91.28 / $148.22 / $228.35	Professional		$91.28	$148.22	$228.35
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 $128.02 / $208.11 / $263.02	Professional		$128.02	$208.11	$263.02