Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.26 / $1,090.46 / $6,629.40	Facility		$126.26	$1,090.46	$6,629.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $143.97 / $553.00	Professional		$58.42	$143.97	$553.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Facility		$98.11	$98.11	$98.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.08 / $170.12 / $630.69	Professional		$88.08	$170.12	$630.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.05 / $161.05 / $583.14	Professional		$118.05	$161.05	$583.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.45 / $211.21 / $431.40	Facility		$66.45	$211.21	$431.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $99.07 / $200.48 / $628.79	Professional		$99.07	$200.48	$628.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $112.99 / $362.10 / $486.42	Facility		$112.99	$362.10	$486.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.45 / $236.61 / $566.11	Facility		$66.45	$236.61	$566.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.36 / $211.68 / $636.71	Professional		$108.36	$211.68	$636.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $105.78 / $212.48 / $623.63	Professional		$105.78	$212.48	$623.63
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 $199.09 / $359.46 / $640.71	Professional		$199.09	$359.46	$640.71