Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.95 / $2,747.00 / $7,920.26	Facility		$208.95	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.12 / $142.04 / $407.27	Professional		$94.12	$142.04	$407.27
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 $124.10 / $211.29 / $304.23	Professional		$124.10	$211.29	$304.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $216.04 / $262.39	Professional		$170.00	$216.04	$262.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.46 / $193.44 / $303.60	Facility		$116.46	$193.44	$303.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $166.77 / $189.72 / $310.41	Professional		$166.77	$189.72	$310.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $149.94 / $200.42 / $211.72	Facility		$149.94	$200.42	$211.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.45 / $217.00 / $303.60	Facility		$121.45	$217.00	$303.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $180.36 / $230.55 / $302.10	Professional		$180.36	$230.55	$302.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $543.00 / $543.00 / $543.00	Facility		$543.00	$543.00	$543.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $194.97 / $246.64 / $301.13	Professional		$194.97	$246.64	$301.13
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 $150.72 / $219.79 / $334.11	Professional		$150.72	$219.79	$334.11