Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.12 / $7,920.26 / $20,400.00	Facility		$269.12	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $199.98 / $628.63	Professional		$103.71	$199.98	$628.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $246.76 / $308.61 / $1,431.00	Professional	50	$246.76	$308.61	$1,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.33 / $328.23 / $526.00	Professional		$185.33	$328.23	$526.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.14 / $322.56 / $469.98	Professional		$238.14	$322.56	$469.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $174.54 / $294.83 / $479.40	Facility		$174.54	$294.83	$479.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $195.87 / $304.76 / $522.70	Professional		$195.87	$304.76	$522.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $190.01 / $340.09 / $386.59	Facility		$190.01	$340.09	$386.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $174.54 / $341.55 / $495.98	Facility		$174.54	$341.55	$495.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.10 / $350.46 / $521.95	Professional		$229.10	$350.46	$521.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $555.45 / $710.18 / $967.39	Facility		$555.45	$710.18	$967.39
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $833.18 / $1,065.27 / $1,451.09	Facility	50	$833.18	$1,065.27	$1,451.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $234.36 / $355.49 / $547.66	Professional		$234.36	$355.49	$547.66
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 $281.44 / $399.32 / $614.94	Professional		$281.44	$399.32	$614.94