Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.84 / $2,747.00 / $7,920.26	Facility		$173.84	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $110.04 / $251.99	Professional		$68.73	$110.04	$251.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.40 / $182.56 / $311.77	Professional		$105.40	$182.56	$311.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $208.92 / $291.55	Professional		$164.32	$208.92	$291.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $110.04 / $164.69 / $246.80	Facility		$110.04	$164.69	$246.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $127.56 / $181.68 / $274.06	Professional		$127.56	$181.68	$274.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $130.90 / $195.61 / $238.52	Facility		$130.90	$195.61	$238.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.04 / $168.93 / $304.63	Facility		$110.04	$168.93	$304.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.53 / $204.65 / $304.63	Professional		$143.53	$204.65	$304.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $564.70 / $724.26 / $933.97	Facility		$564.70	$724.26	$933.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $145.15 / $218.34 / $312.95	Professional		$145.15	$218.34	$312.95
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 $149.44 / $205.85 / $367.78	Professional		$149.44	$205.85	$367.78