Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.85 / $2,747.00 / $7,920.26	Facility		$143.85	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $88.28 / $200.93	Professional		$53.00	$88.28	$200.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.46 / $147.94 / $234.34	Professional		$88.46	$147.94	$234.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.91 / $167.37 / $213.69	Professional		$135.91	$167.37	$213.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.81 / $132.16 / $201.69	Facility		$90.81	$132.16	$201.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.43 / $141.97 / $211.13	Professional		$109.43	$141.97	$211.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $97.92 / $156.78 / $176.88	Facility		$97.92	$156.78	$176.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.81 / $135.72 / $225.68	Facility		$90.81	$135.72	$225.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.07 / $164.25 / $228.55	Professional		$122.07	$164.25	$228.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $737.82 / $929.08 / $1,109.00	Facility		$737.82	$929.08	$1,109.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.55 / $170.27 / $239.28	Professional		$120.55	$170.27	$239.28
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 $116.64 / $170.10 / $272.45	Professional		$116.64	$170.10	$272.45