Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.95 / $2,486.00 / $8,728.00	Facility		$375.95	$2,486.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.03 / $137.03 / $369.52	Professional		$37.03	$137.03	$369.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.62 / $62.62 / $62.62	Facility		$62.62	$62.62	$62.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $145.90 / $481.83	Professional		$57.31	$145.90	$481.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.29 / $101.36 / $435.03	Professional		$74.29	$101.36	$435.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.31 / $165.69 / $367.20	Facility		$47.31	$165.69	$367.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.71 / $225.42 / $470.14	Professional		$61.71	$225.42	$470.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $74.37 / $285.92 / $358.45	Facility		$74.37	$285.92	$358.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.91 / $191.02 / $454.50	Facility		$47.91	$191.02	$454.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.19 / $215.63 / $480.24	Professional		$71.19	$215.63	$480.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $258.67 / $459.57	Professional		$70.09	$258.67	$459.57
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.87 / $316.14 / $511.87	Professional		$172.87	$316.14	$511.87