Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $213.80 / $6,606.93	Facility		$144.54	$213.80	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $204.17	Professional		$75.86	$100.00	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $208.93	Professional		$83.18	$128.82	$208.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $204.17	Professional		$93.33	$141.25	$204.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $114.82 / $213.80	Facility		$75.86	$114.82	$213.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $194.98	Professional		$102.33	$144.54	$194.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $165.96 / $173.78	Facility		$125.89	$165.96	$173.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $112.20 / $194.98	Facility		$74.13	$112.20	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $147.91 / $208.93	Professional		$79.43	$147.91	$208.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $912.01 / $1,148.15	Facility		$724.44	$912.01	$1,148.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $223.87	Professional		$138.04	$173.78	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,548.82 / $6,165.95	Facility		$389.05	$1,548.82	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $218.78	Professional		$100.00	$147.91	$218.78