Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.60 / $257.00 / $7,920.26	Facility		$49.60	$257.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $38.35 / $82.93	Professional		$23.14	$38.35	$82.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $62.49 / $87.10	Professional		$36.65	$62.49	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.35 / $60.90 / $76.76	Professional		$50.35	$60.90	$76.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.13 / $51.50 / $92.28	Facility		$33.13	$51.50	$92.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $56.19 / $78.72	Professional		$40.14	$56.19	$78.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.05 / $62.72 / $79.06	Facility		$44.05	$62.72	$79.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.13 / $53.65 / $92.28	Facility		$33.13	$53.65	$92.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.62 / $61.51 / $84.65	Professional		$46.62	$61.51	$84.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $754.67 / $945.34 / $1,182.96	Facility		$754.67	$945.34	$1,182.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $46.08 / $63.98 / $90.01	Professional		$46.08	$63.98	$90.01
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 $47.84 / $73.23 / $101.06	Professional		$47.84	$73.23	$101.06