Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.78 / $988.00 / $8,728.00	Facility		$102.78	$988.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.97 / $115.95 / $243.09	Professional		$66.97	$115.95	$243.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.22 / $146.75 / $265.01	Professional		$89.22	$146.75	$265.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.25 / $145.11 / $239.28	Professional		$99.25	$145.11	$239.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.97 / $135.31 / $241.81	Facility		$66.97	$135.31	$241.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.79 / $156.38 / $287.82	Professional		$83.79	$156.38	$287.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $100.50 / $172.46 / $196.31	Facility		$100.50	$172.46	$196.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.97 / $143.99 / $248.85	Facility		$66.97	$143.99	$248.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.26 / $156.56 / $263.87	Professional		$98.26	$156.56	$263.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $598.00 / $773.56 / $1,044.82	Facility		$598.00	$773.56	$1,044.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $98.40 / $163.19 / $274.77	Professional		$98.40	$163.19	$274.77
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 $147.61 / $225.90 / $305.64	Professional		$147.61	$225.90	$305.64