Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.70 / $7,074.00 / $20,400.00	Facility		$295.70	$7,074.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.86 / $217.32 / $895.00	Professional		$123.86	$217.32	$895.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $296.33 / $1,182.58 / $1,410.00	Professional	50	$296.33	$1,182.58	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.53 / $354.13 / $555.51	Professional		$200.53	$354.13	$555.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $261.18 / $353.77 / $496.10	Professional		$261.18	$353.77	$496.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.64 / $318.72 / $505.75	Facility		$190.64	$318.72	$505.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $215.09 / $322.36 / $552.90	Professional		$215.09	$322.36	$552.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $224.24 / $370.54 / $409.37	Facility		$224.24	$370.54	$409.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.64 / $369.31 / $524.29	Facility		$190.64	$369.31	$524.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.22 / $370.92 / $550.66	Professional		$250.22	$370.92	$550.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,245.03 / $1,550.94 / $2,059.69	Facility		$1,245.03	$1,550.94	$2,059.69
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,867.55 / $2,326.41 / $3,089.55	Facility	50	$1,867.55	$2,326.41	$3,089.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $257.67 / $377.11 / $578.91	Professional		$257.67	$377.11	$578.91
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 $303.48 / $437.38 / $650.04	Professional		$303.48	$437.38	$650.04