Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.06 / $2,747.00 / $7,920.26	Facility		$95.06	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.09 / $110.79 / $228.18	Professional		$58.09	$110.79	$228.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.73 / $154.90 / $274.08	Professional		$87.73	$154.90	$274.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $112.38 / $193.20	Professional		$89.29	$112.38	$193.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.09 / $143.22 / $297.11	Facility		$58.09	$143.22	$297.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.15 / $138.97 / $252.49	Professional		$74.15	$138.97	$252.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $119.60 / $159.46 / $257.27	Facility		$119.60	$159.46	$257.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.09 / $150.66 / $297.11	Facility		$58.09	$150.66	$297.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.21 / $153.90 / $252.96	Professional		$83.21	$153.90	$252.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,722.06 / $2,201.77 / $2,738.85	Facility		$1,722.06	$2,201.77	$2,738.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $83.51 / $149.44 / $246.40	Professional		$83.51	$149.44	$246.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.86 / $174.31 / $269.74	Professional		$112.86	$174.31	$269.74