Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.27 / $585.86 / $7,920.26	Facility		$287.27	$585.86	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $230.15 / $707.66	Professional		$132.00	$230.15	$707.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,587.00 / $1,587.00 / $1,587.00	Professional	50	$1,587.00	$1,587.00	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.54 / $371.51 / $596.72	Professional		$209.54	$371.51	$596.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $268.94 / $364.28 / $530.45	Professional		$268.94	$364.28	$530.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $198.72 / $336.15 / $549.95	Facility		$198.72	$336.15	$549.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $220.42 / $348.84 / $588.61	Professional		$220.42	$348.84	$588.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $224.01 / $386.52 / $437.51	Facility		$224.01	$386.52	$437.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $198.72 / $387.83 / $561.20	Facility		$198.72	$387.83	$561.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $260.83 / $398.31 / $593.13	Professional		$260.83	$398.31	$593.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,245.03 / $1,561.00 / $2,179.07	Facility		$1,245.03	$1,561.00	$2,179.07
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,867.55 / $2,341.50 / $3,268.61	Facility	50	$1,867.55	$2,341.50	$3,268.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $266.08 / $402.23 / $619.66	Professional		$266.08	$402.23	$619.66
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 $325.08 / $498.76 / $695.78	Professional		$325.08	$498.76	$695.78