Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.94 / $988.00 / $7,920.26	Facility		$160.94	$988.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.92 / $114.60 / $313.20	Professional		$74.92	$114.60	$313.20
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 $114.98 / $193.13 / $319.66	Professional		$114.98	$193.13	$319.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.16 / $204.01 / $288.73	Professional		$164.16	$204.01	$288.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.83 / $163.16 / $273.07	Facility		$107.83	$163.16	$273.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $137.46 / $193.74 / $279.45	Professional		$137.46	$193.74	$279.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $135.51 / $213.46 / $243.21	Facility		$135.51	$213.46	$243.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.83 / $163.16 / $308.92	Facility		$107.83	$163.16	$308.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $218.42 / $313.81	Professional		$153.60	$218.42	$313.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $153.69 / $227.28 / $331.70	Professional		$153.69	$227.28	$331.70
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 $157.44 / $231.15 / $361.26	Professional		$157.44	$231.15	$361.26