Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.24 / $174.64 / $7,920.26	Facility		$113.24	$174.64	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.97 / $117.90 / $255.22	Professional		$52.97	$117.90	$255.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $118.37 / $118.37 / $342.05	Professional	50	$118.37	$118.37	$342.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $139.01 / $225.50	Professional		$78.31	$139.01	$225.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.71 / $133.71 / $192.62	Professional		$98.71	$133.71	$192.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.87 / $127.50 / $292.83	Facility		$72.87	$127.50	$292.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $136.24 / $238.89	Professional		$85.26	$136.24	$238.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $90.45 / $155.02 / $255.45	Facility		$90.45	$155.02	$255.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.87 / $156.66 / $292.83	Facility		$72.87	$156.66	$292.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.92 / $146.16 / $219.08	Professional		$97.92	$146.16	$219.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $492.49 / $584.72 / $749.46	Facility		$492.49	$584.72	$749.46
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $738.74 / $877.08 / $1,124.19	Facility	50	$738.74	$877.08	$1,124.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $99.05 / $144.97 / $222.66	Professional		$99.05	$144.97	$222.66
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $205.75 / $281.52	Professional		$130.50	$205.75	$281.52