Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $208.93 / $6,606.93	Facility		$125.89	$208.93	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $100.00 / $389.05	Professional		$66.07	$100.00	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $147.91 / $239.88	Professional		$85.11	$147.91	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $239.88	Professional		$109.65	$165.96	$239.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $117.49 / $229.09	Facility		$70.79	$117.49	$229.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $245.47	Professional		$95.50	$154.88	$245.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $177.83 / $186.21	Facility		$131.83	$177.83	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $123.03 / $204.17	Facility		$74.13	$123.03	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $165.96 / $239.88	Professional		$79.43	$165.96	$239.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $239.88	Professional		$128.82	$173.78	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $234.42	Professional		$102.33	$154.88	$234.42