Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.32 / $2,747.00 / $7,920.26	Facility		$219.32	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.97 / $148.91 / $415.15	Professional		$98.97	$148.91	$415.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.33 / $219.73 / $318.81	Professional		$131.33	$219.73	$318.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $228.47 / $277.54	Professional		$174.00	$228.47	$277.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $124.20 / $203.01 / $306.37	Facility		$124.20	$203.01	$306.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.40 / $202.12 / $328.11	Professional		$173.40	$202.12	$328.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $158.91 / $211.95 / $223.78	Facility		$158.91	$211.95	$223.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.28 / $226.78 / $306.37	Facility		$128.28	$226.78	$306.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $189.01 / $242.05 / $316.35	Professional		$189.01	$242.05	$316.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $580.27 / $580.27 / $580.27	Facility		$580.27	$580.27	$580.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $205.42 / $260.69 / $316.47	Professional		$205.42	$260.69	$316.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.78 / $237.13 / $352.03	Professional		$167.78	$237.13	$352.03