Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.41 / $998.72 / $6,629.40	Facility		$93.41	$998.72	$6,629.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.97 / $69.70 / $258.95	Professional		$44.97	$69.70	$258.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.12 / $121.38 / $164.72	Professional		$75.12	$121.38	$164.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.06 / $115.81 / $143.05	Professional		$93.06	$115.81	$143.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $99.67 / $155.55	Facility		$69.70	$99.67	$155.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $124.95 / $190.96	Professional		$78.98	$124.95	$190.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.53 / $106.73 / $120.60	Facility		$70.53	$106.73	$120.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $123.67 / $155.55	Facility		$69.70	$123.67	$155.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.38 / $125.43 / $164.72	Professional		$94.38	$125.43	$164.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $127.13 / $169.60	Professional		$95.82	$127.13	$169.60
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 $90.10 / $129.97 / $190.44	Professional		$90.10	$129.97	$190.44