Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.93 / $2,747.00 / $7,920.26	Facility		$88.93	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.33 / $89.89 / $215.04	Professional		$36.33	$89.89	$215.04
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 $63.80 / $111.70 / $236.31	Professional		$63.80	$111.70	$236.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.19 / $104.69 / $215.12	Professional		$83.19	$104.69	$215.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.27 / $110.15 / $226.17	Facility		$54.27	$110.15	$226.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $127.61 / $216.00	Professional		$67.08	$127.61	$216.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.73 / $145.41 / $178.89	Facility		$81.73	$145.41	$178.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.27 / $116.68 / $228.25	Facility		$54.27	$116.68	$228.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $120.34 / $231.15	Professional		$76.23	$120.34	$231.15
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 $76.53 / $128.96 / $244.56	Professional		$76.53	$128.96	$244.56
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 $105.81 / $161.01 / $260.44	Professional		$105.81	$161.01	$260.44