Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.19 / $2,747.00 / $7,920.26	Facility		$122.19	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $115.39 / $254.98	Professional		$57.43	$115.39	$254.98
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 $86.04 / $153.56 / $301.06	Professional		$86.04	$153.56	$301.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.27 / $132.47 / $265.93	Professional		$107.27	$132.47	$265.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.73 / $153.85 / $292.99	Facility		$74.73	$153.85	$292.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $164.46 / $258.16	Professional		$87.75	$164.46	$258.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $109.21 / $202.73 / $231.15	Facility		$109.21	$202.73	$231.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.73 / $159.43 / $288.32	Facility		$74.73	$159.43	$288.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.32 / $170.71 / $294.89	Professional		$104.32	$170.71	$294.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $105.53 / $174.08 / $314.83	Professional		$105.53	$174.08	$314.83
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 $164.83 / $229.45 / $341.84	Professional		$164.83	$229.45	$341.84