Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.89 / $2,747.00 / $8,728.00	Facility		$97.89	$2,747.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $141.96 / $457.78	Professional		$37.76	$141.96	$457.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Facility		$68.48	$68.48	$68.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.46 / $159.32 / $475.98	Professional		$61.46	$159.32	$475.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $110.74 / $429.76	Professional		$81.17	$110.74	$429.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.47 / $155.04 / $441.42	Facility		$44.47	$155.04	$441.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $127.33 / $482.88	Professional		$67.94	$127.33	$482.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $302.67 / $367.83	Facility		$77.70	$302.67	$367.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.82 / $177.16 / $481.39	Facility		$45.82	$177.16	$481.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $225.14 / $477.10	Professional		$76.50	$225.14	$477.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $76.88 / $225.62 / $479.86	Professional		$76.88	$225.62	$479.86
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 $161.68 / $295.68 / $484.43	Professional		$161.68	$295.68	$484.43