Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,213.00 / $6,629.40 / $8,728.00	Facility		$3,213.00	$6,629.40	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.18 / $80.62 / $96.19	Professional		$62.18	$80.62	$96.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.85 / $89.85 / $89.85	Facility		$89.85	$89.85	$89.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.72 / $375.77 / $375.77	Professional		$126.72	$375.77	$375.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.13 / $186.98 / $214.27	Professional		$153.13	$186.98	$214.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.89 / $96.19 / $206.81	Facility		$64.89	$96.19	$206.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $96.88 / $148.66 / $161.47	Facility		$96.88	$148.66	$161.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.89 / $96.19 / $206.81	Facility		$64.89	$96.19	$206.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.17 / $165.33 / $375.77	Professional		$109.17	$165.33	$375.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $181.63 / $264.45 / $333.45	Facility		$181.63	$264.45	$333.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $158.36 / $228.35	Professional		$130.50	$158.36	$228.35
United Facility/Professional Professional Modifier Low / Median / High Price $86.60 / $89.61 / $256.41	Professional		$86.60	$89.61	$256.41