Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.31 / $2,707.06 / $5,714.30	Facility		$168.31	$2,707.06	$5,714.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $187.44 / $556.29	Professional		$64.12	$187.44	$556.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.83 / $115.83 / $115.83	Facility		$115.83	$115.83	$115.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.69 / $207.83 / $622.02	Professional		$105.69	$207.83	$622.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.55 / $187.65 / $556.07	Professional		$137.55	$187.65	$556.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.59 / $244.22 / $502.87	Facility		$91.59	$244.22	$502.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.91 / $331.08 / $600.54	Professional		$114.91	$331.08	$600.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $154.28 / $368.31 / $462.30	Facility		$154.28	$368.31	$462.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.06 / $249.36 / $580.57	Facility		$96.06	$249.36	$580.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.78 / $283.51 / $615.87	Professional		$129.78	$283.51	$615.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $127.13 / $283.58 / $596.50	Professional		$127.13	$283.58	$596.50
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 $223.92 / $404.30 / $670.77	Professional		$223.92	$404.30	$670.77