Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.91 / $1,341.00 / $6,096.00	Facility		$139.91	$1,341.00	$6,096.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.89 / $146.94 / $370.55	Professional		$46.89	$146.94	$370.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.79 / $84.79 / $84.79	Facility		$84.79	$84.79	$84.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.47 / $164.32 / $433.68	Professional		$77.47	$164.32	$433.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.74 / $137.43 / $391.57	Professional		$100.74	$137.43	$391.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.72 / $164.15 / $346.76	Facility		$63.72	$164.15	$346.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.77 / $215.04 / $421.13	Professional		$83.77	$215.04	$421.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $99.16 / $259.48 / $324.95	Facility		$99.16	$259.48	$324.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.39 / $173.42 / $404.68	Facility		$66.39	$173.42	$404.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.72 / $200.34 / $431.52	Professional		$94.72	$200.34	$431.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $92.35 / $199.33 / $417.17	Professional		$92.35	$199.33	$417.17
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 $156.99 / $287.10 / $469.10	Professional		$156.99	$287.10	$469.10