Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.47 / $5,116.62 / $8,728.00	Facility		$73.47	$5,116.62	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $129.21 / $240.91	Professional		$29.14	$129.21	$240.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.10 / $51.10 / $51.10	Facility		$51.10	$51.10	$51.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $128.52 / $376.61	Professional		$46.80	$128.52	$376.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $82.99 / $334.53	Professional		$60.83	$82.99	$334.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.72 / $138.54 / $403.38	Facility		$38.72	$138.54	$403.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.38 / $213.49 / $349.35	Professional		$50.38	$213.49	$349.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $82.72 / $263.68 / $312.22	Facility		$82.72	$263.68	$312.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.11 / $146.69 / $397.77	Facility		$39.11	$146.69	$397.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.38 / $176.10 / $374.78	Professional		$57.38	$176.10	$374.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $624.11 / $797.96 / $962.78	Facility		$624.11	$797.96	$962.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.29 / $196.78 / $370.52	Professional		$56.29	$196.78	$370.52
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 $156.63 / $291.06 / $441.38	Professional		$156.63	$291.06	$441.38