Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.39 / $4,684.68 / $8,728.00	Facility		$111.39	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.08 / $130.72 / $266.73	Professional		$52.08	$130.72	$266.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.08 / $85.08 / $85.08	Facility		$85.08	$85.08	$85.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.61 / $143.81 / $343.86	Professional		$77.61	$143.81	$343.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.72 / $133.72 / $310.45	Professional		$103.72	$133.72	$310.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $139.81 / $321.93	Facility		$65.80	$139.81	$321.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.05 / $181.17 / $348.48	Professional		$86.05	$181.17	$348.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $100.74 / $218.88 / $256.36	Facility		$100.74	$218.88	$256.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $151.37 / $327.79	Facility		$65.80	$151.37	$327.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.81 / $165.62 / $338.72	Professional		$94.81	$165.62	$338.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $92.25 / $172.83 / $328.14	Professional		$92.25	$172.83	$328.14
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 $122.89 / $223.19 / $390.37	Professional		$122.89	$223.19	$390.37