Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.25 / $197.38 / $6,629.40	Facility		$93.25	$197.38	$6,629.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $77.09 / $300.00	Professional		$39.81	$77.09	$300.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.48 / $105.88 / $162.01	Professional		$62.48	$105.88	$162.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $106.39 / $146.27	Professional		$85.60	$106.39	$146.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.78 / $93.18 / $141.82	Facility		$59.78	$93.18	$141.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.19 / $97.41 / $137.59	Professional		$68.19	$97.41	$137.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $72.62 / $112.34 / $123.08	Facility		$72.62	$112.34	$123.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.78 / $93.56 / $157.03	Facility		$59.78	$93.56	$157.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.38 / $113.96 / $159.43	Professional		$79.38	$113.96	$159.43
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 $78.72 / $117.13 / $173.39	Professional		$78.72	$117.13	$173.39
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 $89.18 / $125.57 / $194.68	Professional		$89.18	$125.57	$194.68