Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.10 / $525.08 / $7,920.26	Facility		$140.10	$525.08	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $99.83 / $381.00	Professional		$65.41	$99.83	$381.00
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 $96.66 / $158.65 / $246.89	Professional		$96.66	$158.65	$246.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.22 / $175.43 / $223.32	Professional		$141.22	$175.43	$223.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.94 / $130.82 / $220.78	Facility		$93.94	$130.82	$220.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.74 / $156.00 / $227.23	Professional		$117.74	$156.00	$227.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $112.96 / $171.58 / $188.27	Facility		$112.96	$171.58	$188.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.94 / $131.34 / $237.69	Facility		$93.94	$131.34	$237.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.19 / $176.39 / $245.25	Professional		$132.19	$176.39	$245.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $131.19 / $183.40 / $256.74	Professional		$131.19	$183.40	$256.74
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 $130.00 / $182.00 / $291.97	Professional		$130.00	$182.00	$291.97