Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.28 / $988.00 / $7,920.26	Facility		$90.28	$988.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.51 / $74.12 / $260.00	Professional		$40.51	$74.12	$260.00
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 $60.93 / $102.82 / $172.40	Professional		$60.93	$102.82	$172.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.08 / $106.08 / $159.61	Professional		$85.08	$106.08	$159.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.59 / $90.62 / $140.13	Facility		$57.59	$90.62	$140.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.19 / $99.00 / $149.74	Professional		$68.19	$99.00	$149.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.22 / $113.32 / $131.32	Facility		$70.22	$113.32	$131.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.59 / $90.62 / $162.91	Facility		$57.59	$90.62	$162.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.80 / $110.47 / $166.85	Professional		$76.80	$110.47	$166.85
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 $77.44 / $118.09 / $174.68	Professional		$77.44	$118.09	$174.68
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 $86.24 / $121.44 / $189.81	Professional		$86.24	$121.44	$189.81