Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.80 / $4,684.68 / $8,728.00	Facility		$153.80	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.65 / $108.85 / $266.86	Professional		$68.65	$108.85	$266.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.90 / $118.90 / $118.90	Facility		$118.90	$118.90	$118.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.48 / $169.96 / $316.37	Professional		$99.48	$169.96	$316.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.49 / $184.17 / $288.20	Professional		$137.49	$184.17	$288.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.71 / $156.22 / $268.37	Facility		$90.71	$156.22	$268.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $119.44 / $184.28 / $308.29	Professional		$119.44	$184.28	$308.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $132.54 / $193.99 / $237.85	Facility		$132.54	$193.99	$237.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.71 / $157.35 / $306.33	Facility		$90.71	$157.35	$306.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.29 / $187.00 / $309.51	Professional		$130.29	$187.00	$309.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $126.69 / $186.68 / $304.95	Professional		$126.69	$186.68	$304.95
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 $111.52 / $203.95 / $350.84	Professional		$111.52	$203.95	$350.84