Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $199.53 / $5,011.87	Facility		$87.10	$199.53	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $75.86 / $269.15	Professional		$41.69	$75.86	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $93.33 / $158.49	Professional		$51.29	$93.33	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $147.91	Professional		$77.62	$102.33	$147.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $87.10 / $154.88	Facility		$47.86	$87.10	$154.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $151.36	Professional		$64.57	$97.72	$151.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $117.49 / $123.03	Facility		$85.11	$117.49	$123.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $83.18 / $131.83	Facility		$47.86	$83.18	$131.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $151.36	Professional		$70.79	$97.72	$151.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $933.25 / $1,122.02	Facility		$741.31	$933.25	$1,122.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $151.36	Professional		$75.86	$112.20	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,513.56 / $6,165.95	Facility		$389.05	$1,513.56	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $100.00 / $154.88	Professional		$61.66	$100.00	$154.88