Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $239.88 / $6,606.93	Facility		$104.71	$239.88	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $100.00 / $251.19	Professional		$52.48	$100.00	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $138.04 / $269.15	Professional		$70.79	$138.04	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $229.09	Professional		$91.20	$138.04	$229.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $109.65 / $223.87	Facility		$58.88	$109.65	$223.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $154.88 / $223.87	Professional		$89.13	$154.88	$223.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $186.21 / $204.17	Facility		$138.04	$186.21	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $109.65 / $218.78	Facility		$53.70	$109.65	$218.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $138.04 / $245.47	Professional		$79.43	$138.04	$245.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $2,818.38	Facility		$1,737.80	$2,238.72	$2,818.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $245.47	Professional		$102.33	$169.82	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,398.83 / $4,897.79	Facility		$1,096.48	$2,398.83	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $141.25 / $257.04	Professional		$79.43	$141.25	$257.04