Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.80 / $2,747.00 / $7,920.26	Facility		$107.80	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $80.33 / $185.24	Professional		$50.89	$80.33	$185.24
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 $74.56 / $123.50 / $193.28	Professional		$74.56	$123.50	$193.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.26 / $121.35 / $169.36	Professional		$99.26	$121.35	$169.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.75 / $102.47 / $201.69	Facility		$65.75	$102.47	$201.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $116.03 / $170.63	Professional		$80.95	$116.03	$170.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $84.82 / $136.22 / $148.24	Facility		$84.82	$136.22	$148.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.75 / $102.47 / $184.49	Facility		$65.75	$102.47	$184.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $135.44 / $191.35	Professional		$91.59	$135.44	$191.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.95 / $136.44 / $203.71	Professional		$91.95	$136.44	$203.71
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 $108.89 / $152.96 / $222.75	Professional		$108.89	$152.96	$222.75