Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.94 / $2,747.00 / $7,920.26	Facility		$160.94	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.08 / $109.47 / $325.97	Professional		$72.08	$109.47	$325.97
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 $98.47 / $162.28 / $233.28	Professional		$98.47	$162.28	$233.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.97 / $169.17 / $202.95	Professional		$141.97	$169.17	$202.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.78 / $157.08 / $234.74	Facility		$89.78	$157.08	$234.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.89 / $151.18 / $260.99	Professional		$121.89	$151.18	$260.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $115.80 / $154.96 / $163.47	Facility		$115.80	$154.96	$163.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.99 / $170.43 / $227.23	Facility		$93.99	$170.43	$227.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.86 / $178.12 / $232.75	Professional		$139.86	$178.12	$232.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $427.67 / $427.67 / $427.67	Facility		$427.67	$427.67	$427.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $149.44 / $190.44 / $231.12	Professional		$149.44	$190.44	$231.12
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 $122.92 / $172.08 / $251.76	Professional		$122.92	$172.08	$251.76