Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.87 / $2,747.00 / $7,920.26	Facility		$65.87	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $120.13 / $387.00	Professional		$28.23	$120.13	$387.00
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 $46.28 / $117.35 / $324.41	Professional		$46.28	$117.35	$324.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.20 / $107.61 / $282.10	Professional		$61.20	$107.61	$282.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $120.13 / $311.25	Facility		$40.74	$120.13	$311.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.38 / $180.92 / $260.97	Professional		$50.38	$180.92	$260.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.30 / $222.90 / $243.44	Facility		$60.30	$222.90	$243.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $179.79 / $311.25	Facility		$40.74	$179.79	$311.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.93 / $154.21 / $313.25	Professional		$56.93	$154.21	$313.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $737.82 / $929.08 / $1,109.00	Facility		$737.82	$929.08	$1,109.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.62 / $102.55 / $338.45	Professional		$57.62	$102.55	$338.45
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 $178.65 / $251.12 / $373.42	Professional		$178.65	$251.12	$373.42