Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $263.03 / $6,606.93	Facility		$61.66	$263.03	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $120.23 / $371.54	Professional		$27.54	$120.23	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $112.20 / $316.23	Professional		$38.90	$112.20	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $117.49 / $295.12	Professional		$48.98	$117.49	$295.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $97.72 / $288.40	Facility		$29.51	$97.72	$288.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $194.98 / $275.42	Professional		$45.71	$194.98	$275.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $223.87 / $239.88	Facility		$173.78	$223.87	$239.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $109.65 / $275.42	Facility		$33.11	$109.65	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $83.18 / $295.12	Professional		$56.23	$83.18	$295.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $933.25 / $1,122.02	Facility		$741.31	$933.25	$1,122.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $102.33 / $295.12	Professional		$57.54	$102.33	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,513.56 / $6,165.95	Facility		$389.05	$1,513.56	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $134.90 / $295.12	Professional		$45.71	$134.90	$295.12