Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.94 / $170.15 / $7,920.26	Facility		$140.94	$170.15	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.18 / $93.94 / $319.52	Professional		$64.18	$93.94	$319.52
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 $72.04 / $123.17 / $195.31	Professional		$72.04	$123.17	$195.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.01 / $147.76 / $178.20	Professional		$103.01	$147.76	$178.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.80 / $115.49 / $193.76	Facility		$70.80	$115.49	$193.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.40 / $126.26 / $204.77	Professional		$104.40	$126.26	$204.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $100.98 / $142.72 / $154.77	Facility		$100.98	$142.72	$154.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.95 / $128.69 / $194.79	Facility		$75.95	$128.69	$194.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.70 / $140.74 / $184.24	Professional		$110.70	$140.74	$184.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $722.10 / $904.54 / $1,153.73	Facility		$722.10	$904.54	$1,153.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $115.62 / $146.96 / $199.76	Professional		$115.62	$146.96	$199.76
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 $99.91 / $139.86 / $203.69	Professional		$99.91	$139.86	$203.69