Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.14 / $1,430.00 / $7,920.26	Facility		$178.14	$1,430.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.27 / $171.03 / $392.13	Professional		$68.27	$171.03	$392.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $123.68 / $123.68	Facility		$123.68	$123.68	$123.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.76 / $212.41 / $519.88	Professional		$113.76	$212.41	$519.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.90 / $196.77 / $469.38	Professional		$146.90	$196.77	$469.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.12 / $208.11 / $414.38	Facility		$98.12	$208.11	$414.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $122.27 / $275.72 / $499.22	Professional		$122.27	$275.72	$499.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $161.33 / $312.77 / $391.28	Facility		$161.33	$312.77	$391.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.39 / $216.34 / $482.60	Facility		$103.39	$216.34	$482.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.24 / $243.36 / $519.88	Professional		$138.24	$243.36	$519.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $135.99 / $277.66 / $503.48	Professional		$135.99	$277.66	$503.48
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 $189.47 / $341.25 / $542.64	Professional		$189.47	$341.25	$542.64