Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.75 / $4,283.46 / $8,728.00	Facility		$189.75	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $304.01 / $700.32	Professional		$79.20	$304.01	$700.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.02 / $225.02 / $1,937.44	Facility		$225.02	$225.02	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.79 / $287.73 / $904.27	Professional		$126.79	$287.73	$904.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.78 / $240.36 / $806.80	Professional		$164.78	$240.36	$806.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.79 / $306.89 / $916.30	Facility		$125.79	$306.89	$916.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.62 / $460.25 / $887.94	Professional		$144.62	$460.25	$887.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $174.87 / $608.23 / $670.00	Facility		$174.87	$608.23	$670.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.79 / $375.87 / $916.30	Facility		$125.79	$375.87	$916.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.25 / $431.05 / $899.30	Professional		$161.25	$431.05	$899.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $598.00 / $779.93 / $1,095.07	Facility		$598.00	$779.93	$1,095.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $167.68 / $566.03 / $924.48	Professional		$167.68	$566.03	$924.48
United Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $1,078.00 / $5,183.00	Facility		$177.00	$1,078.00	$5,183.00
United Facility/Professional Professional Modifier Low / Median / High Price $461.67 / $674.79 / $1,060.41	Professional		$461.67	$674.79	$1,060.41