Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.80 / $153.34 / $7,920.26	Facility		$82.80	$153.34	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $62.89 / $172.76	Professional		$35.92	$62.89	$172.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.13 / $86.24 / $150.16	Professional		$50.13	$86.24	$150.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.93 / $96.35 / $141.68	Professional		$64.93	$96.35	$141.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.84 / $86.01 / $135.21	Facility		$49.84	$86.01	$135.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $94.54 / $134.66	Professional		$65.11	$94.54	$134.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.76 / $108.21 / $121.94	Facility		$70.76	$108.21	$121.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.46 / $89.93 / $154.46	Facility		$53.46	$89.93	$154.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.92 / $103.20 / $143.19	Professional		$73.92	$103.20	$143.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $861.54 / $1,116.86 / $1,502.14	Facility		$861.54	$1,116.86	$1,502.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.65 / $110.70 / $157.50	Professional		$75.65	$110.70	$157.50
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 $76.31 / $110.50 / $167.27	Professional		$76.31	$110.50	$167.27