Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.12 / $169.45 / $7,920.26	Facility		$111.12	$169.45	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.18 / $70.70 / $160.12	Professional		$50.18	$70.70	$160.12
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 $61.97 / $98.98 / $168.80	Professional		$61.97	$98.98	$168.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $116.59 / $159.32	Professional		$80.09	$116.59	$159.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.68 / $103.71 / $161.05	Facility		$62.68	$103.71	$161.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.11 / $110.10 / $157.01	Professional		$82.11	$110.10	$157.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $82.80 / $126.63 / $136.01	Facility		$82.80	$126.63	$136.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.36 / $106.97 / $171.62	Facility		$64.36	$106.97	$171.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.52 / $122.76 / $162.26	Professional		$90.52	$122.76	$162.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $307.31 / $396.76 / $478.20	Facility		$307.31	$396.76	$478.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $90.41 / $128.63 / $176.00	Professional		$90.41	$128.63	$176.00
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 $88.52 / $129.30 / $212.77	Professional		$88.52	$129.30	$212.77