Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $7,943.28	Facility		$60.26	$100.00	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $51.29 / $125.89	Professional		$33.11	$51.29	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $74.13 / $117.49	Professional		$41.69	$74.13	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $112.20	Professional		$54.95	$79.43	$112.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $64.57 / $123.03	Facility		$38.90	$64.57	$123.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $114.82	Professional		$52.48	$85.11	$114.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $87.10 / $107.15	Facility		$72.44	$87.10	$107.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $64.57 / $114.82	Facility		$39.81	$64.57	$114.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $114.82	Professional		$61.66	$79.43	$114.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $954.99 / $1,202.26	Facility		$758.58	$954.99	$1,202.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.11 / $114.82	Professional		$63.10	$85.11	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,513.56 / $6,165.95	Facility		$389.05	$1,513.56	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $77.62 / $114.82	Professional		$50.12	$77.62	$114.82