Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.76 / $4,684.68 / $8,728.00	Facility		$79.76	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $46.50 / $81.87	Professional		$28.34	$46.50	$81.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $691.00 / $691.00	Facility		$691.00	$691.00	$691.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.34 / $59.28 / $96.71	Professional		$39.34	$59.28	$96.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $74.73 / $89.26	Professional		$52.47	$74.73	$89.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.24 / $58.72 / $97.11	Facility		$35.24	$58.72	$97.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.78 / $66.12 / $102.93	Professional		$51.78	$66.12	$102.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.91 / $64.92 / $76.38	Facility		$44.91	$64.92	$76.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.71 / $61.66 / $97.11	Facility		$38.71	$61.66	$97.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $72.31 / $96.59	Professional		$58.28	$72.31	$96.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $917.85 / $5,650.46 / $8,747.84	Facility		$917.85	$5,650.46	$8,747.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $73.16 / $99.44	Professional		$59.04	$73.16	$99.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.28 / $72.15 / $104.51	Professional		$53.28	$72.15	$104.51