Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.62 / $4,684.68 / $8,728.00	Facility		$114.62	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.03 / $70.61 / $152.18	Professional		$52.03	$70.61	$152.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.37 / $86.37 / $86.37	Facility		$86.37	$86.37	$86.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.58 / $109.99 / $163.19	Professional		$66.58	$109.99	$163.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.10 / $120.72 / $142.57	Professional		$101.10	$120.72	$142.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.59 / $101.26 / $173.41	Facility		$58.59	$101.26	$173.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.17 / $107.85 / $163.38	Professional		$87.17	$107.85	$163.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.59 / $113.51 / $120.60	Facility		$81.59	$113.51	$120.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.54 / $105.40 / $157.35	Facility		$59.54	$105.40	$157.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.14 / $122.40 / $159.78	Professional		$96.14	$122.40	$159.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $96.38 / $119.42 / $160.50	Professional		$96.38	$119.42	$160.50
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 $64.95 / $120.69 / $186.04	Professional		$64.95	$120.69	$186.04