Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.70 / $2,747.00 / $7,920.26	Facility		$80.70	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.26 / $43.30 / $213.54	Professional		$41.26	$43.30	$213.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.97 / $90.97 / $123.91	Professional		$59.97	$90.97	$123.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.20 / $91.06 / $102.53	Professional		$64.20	$91.06	$102.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.14 / $80.04 / $118.48	Facility		$43.14	$80.04	$118.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $76.80 / $132.61	Professional		$66.70	$76.80	$132.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.09 / $78.22 / $84.42	Facility		$56.09	$78.22	$84.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.14 / $88.28 / $107.26	Facility		$43.14	$88.28	$107.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $96.90 / $123.91	Professional		$72.56	$96.90	$123.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $76.88 / $103.38 / $132.16	Professional		$76.88	$103.38	$132.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.73 / $92.72 / $132.99	Professional		$62.73	$92.72	$132.99