Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.01 / $85.50 / $205.33	Facility		$53.01	$85.50	$205.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $93.58 / $186.10	Professional		$32.60	$93.58	$186.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.15 / $123.22 / $261.79	Professional		$53.15	$123.22	$261.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.06 / $88.88 / $226.30	Professional		$71.06	$88.88	$226.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.47 / $102.06 / $288.83	Facility		$47.47	$102.06	$288.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.31 / $146.24 / $234.24	Professional		$58.31	$146.24	$234.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $68.34 / $180.03 / $225.12	Facility		$68.34	$180.03	$225.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.47 / $136.08 / $288.83	Facility		$47.47	$136.08	$288.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.92 / $132.88 / $250.69	Professional		$65.92	$132.88	$250.69
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 $66.68 / $111.84 / $261.81	Professional		$66.68	$111.84	$261.81
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 $140.88 / $212.27 / $289.85	Professional		$140.88	$212.27	$289.85