Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.74 / $2,191.19 / $7,920.26	Facility		$104.74	$2,191.19	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.78 / $124.11 / $242.13	Professional		$47.78	$124.11	$242.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.79 / $81.79 / $81.79	Facility		$81.79	$81.79	$81.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.61 / $148.31 / $329.69	Professional		$73.61	$148.31	$329.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.87 / $120.70 / $277.33	Professional		$95.87	$120.70	$277.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.94 / $130.16 / $362.72	Facility		$62.94	$130.16	$362.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.38 / $180.92 / $309.54	Professional		$80.38	$180.92	$309.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $96.40 / $221.91 / $290.82	Facility		$96.40	$221.91	$290.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.28 / $138.59 / $350.99	Facility		$63.28	$138.59	$350.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $160.82 / $327.78	Professional		$91.00	$160.82	$327.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $162.46 / $319.33	Professional		$91.28	$162.46	$319.33
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 $141.47 / $274.41 / $395.84	Professional		$141.47	$274.41	$395.84