Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.50 / $1,345.76 / $7,920.26	Facility		$93.50	$1,345.76	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $115.32 / $244.27	Professional		$42.11	$115.32	$244.27
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 $70.67 / $139.90 / $272.20	Professional		$70.67	$139.90	$272.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.36 / $117.92 / $224.59	Professional		$94.36	$117.92	$224.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.45 / $130.96 / $296.38	Facility		$62.45	$130.96	$296.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $146.77 / $240.17	Professional		$77.54	$146.77	$240.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $89.11 / $180.22 / $239.19	Facility		$89.11	$180.22	$239.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.45 / $137.85 / $296.38	Facility		$62.45	$137.85	$296.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.45 / $158.84 / $253.68	Professional		$86.45	$158.84	$253.68
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 $87.45 / $144.94 / $271.39	Professional		$87.45	$144.94	$271.39
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 $147.16 / $221.61 / $294.70	Professional		$147.16	$221.61	$294.70