Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $489.78 / $7,943.28	Facility		$269.15	$489.78	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $467.74	Professional		$131.83	$218.78	$467.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional	50	$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $363.08 / $602.56	Professional		$199.53	$363.08	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $537.03	Professional		$234.42	$354.81	$537.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $302.00 / $549.54	Facility		$181.97	$302.00	$549.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $354.81 / $501.19	Professional		$213.80	$354.81	$501.19
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional	50	$1,584.89	$1,584.89	$1,584.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $407.38 / $436.52	Facility		$275.42	$407.38	$436.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $288.40 / $478.63	Facility		$162.18	$288.40	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $338.84 / $549.54	Professional		$79.43	$338.84	$549.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,041.74	Facility		$1,258.93	$1,737.80	$2,041.74
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,862.09 / $2,570.40 / $3,090.30	Facility	50	$1,862.09	$2,570.40	$3,090.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $407.38 / $562.34	Professional		$263.03	$407.38	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,630.27 / $6,165.95	Facility		$389.05	$2,630.27	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $346.74 / $562.34	Professional		$204.17	$346.74	$562.34