Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.29 / $4,704.00 / $8,728.00	Facility		$277.29	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.03 / $173.86 / $522.47	Professional		$114.03	$173.86	$522.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,375.60 / $4,375.60 / $4,375.60	Facility		$4,375.60	$4,375.60	$4,375.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.49 / $256.58 / $368.38	Professional		$155.49	$256.58	$368.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.29 / $264.31 / $321.08	Professional		$201.29	$264.31	$321.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.63 / $251.38 / $371.74	Facility		$141.63	$251.38	$371.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $193.80 / $236.22 / $391.41	Professional		$193.80	$236.22	$391.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $184.11 / $245.20 / $258.62	Facility		$184.11	$245.20	$258.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $148.90 / $272.79 / $360.84	Facility		$148.90	$272.79	$360.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $220.81 / $281.77 / $368.60	Professional		$220.81	$281.77	$368.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $236.79 / $301.27 / $365.38	Professional		$236.79	$301.27	$365.38
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 $193.29 / $276.67 / $409.61	Professional		$193.29	$276.67	$409.61