Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.99 / $5,116.62 / $13,320.00	Facility		$314.99	$5,116.62	$13,320.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,852.50 / $8,227.50 / $12,013.44	Facility	50	$1,852.50	$8,227.50	$12,013.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.11 / $207.16 / $767.00	Professional		$110.11	$207.16	$767.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $234.14 / $545.80 / $1,195.50	Professional	50	$234.14	$545.80	$1,195.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $352.12 / $475.96	Professional		$220.00	$352.12	$475.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.10 / $373.18 / $423.94	Professional		$259.10	$373.18	$423.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $230.03 / $342.20 / $494.56	Facility		$230.03	$342.20	$494.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $248.37 / $284.16 / $514.57	Professional		$248.37	$284.16	$514.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $221.90 / $300.16 / $324.27	Facility		$221.90	$300.16	$324.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $230.03 / $385.12 / $5,626.00	Facility		$230.03	$385.12	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $277.88 / $373.53 / $475.96	Professional		$277.88	$373.53	$475.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,709.94 / $4,743.41 / $6,039.89	Facility		$3,709.94	$4,743.41	$6,039.89
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $5,564.91 / $7,115.12 / $9,059.84	Facility	50	$5,564.91	$7,115.12	$9,059.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $295.20 / $397.12 / $507.72	Professional		$295.20	$397.12	$507.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $237.44 / $347.19 / $510.68	Professional		$237.44	$347.19	$510.68