Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $229.09 / $7,943.28	Facility		$93.33	$229.09	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $102.33 / $269.15	Professional		$42.66	$102.33	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $120.23 / $257.04	Professional		$60.26	$120.23	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $117.49 / $239.88	Professional		$75.86	$117.49	$239.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $97.72 / $234.42	Facility		$45.71	$97.72	$234.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $165.96 / $239.88	Professional		$70.79	$165.96	$239.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $181.97 / $239.88	Facility		$151.36	$181.97	$239.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $102.33 / $229.09	Facility		$48.98	$102.33	$229.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $123.03 / $251.19	Professional		$79.43	$123.03	$251.19
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 $87.10 / $138.04 / $257.04	Professional		$87.10	$138.04	$257.04
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 $69.18 / $131.83 / $245.47	Professional		$69.18	$131.83	$245.47