Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.35 / $4,684.68 / $8,728.00	Facility		$136.35	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $152.93 / $334.61	Professional		$59.64	$152.93	$334.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.94 / $104.94 / $104.94	Facility		$104.94	$104.94	$104.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $169.62 / $411.00	Professional		$94.64	$169.62	$411.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.65 / $157.61 / $371.31	Professional		$124.65	$157.61	$371.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.65 / $172.74 / $358.83	Facility		$79.65	$172.74	$358.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $103.58 / $230.58 / $396.22	Professional		$103.58	$230.58	$396.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $122.61 / $259.29 / $307.52	Facility		$122.61	$259.29	$307.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $182.45 / $402.45	Facility		$80.00	$182.45	$402.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $198.11 / $412.66	Professional		$117.00	$198.11	$412.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $113.22 / $221.93 / $412.72	Professional		$113.22	$221.93	$412.72
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 $158.04 / $285.33 / $456.08	Professional		$158.04	$285.33	$456.08