Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.40 / $571.37 / $7,920.26	Facility		$75.40	$571.37	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.44 / $49.35 / $100.19	Professional		$36.44	$49.35	$100.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.55 / $43.55 / $43.55	Facility		$43.55	$43.55	$43.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.15 / $74.26 / $113.09	Professional		$46.15	$74.26	$113.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.28 / $88.06 / $99.26	Professional		$73.28	$88.06	$99.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.90 / $73.27 / $142.83	Facility		$40.90	$73.27	$142.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.38 / $71.06 / $114.87	Professional		$61.38	$71.06	$114.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.90 / $74.37 / $77.05	Facility		$53.90	$74.37	$77.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.90 / $76.86 / $132.50	Facility		$40.90	$76.86	$132.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.59 / $83.09 / $109.05	Professional		$62.59	$83.09	$109.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $68.27 / $82.44 / $107.07	Professional		$68.27	$82.44	$107.07
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 $40.42 / $75.09 / $117.06	Professional		$40.42	$75.09	$117.06