Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $22,168.00 / $54,510.46	Facility		$73.20	$22,168.00	$54,510.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $70.86 / $45,239.04	Professional		$60.29	$70.86	$45,239.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.88 / $97.81 / $118.70	Facility		$56.88	$97.81	$118.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.29 / $68.25	Professional		$60.29	$60.29	$68.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $128.55 / $164.89	Professional		$98.16	$128.55	$164.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.56 / $63.30 / $129.62	Facility		$58.56	$63.30	$129.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $63.91 / $78.38	Professional		$60.29	$63.91	$78.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.56 / $69.39 / $180.87	Facility		$58.56	$69.39	$180.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.29 / $63.16 / $115.60	Facility		$60.29	$63.16	$115.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $70.51 / $76.79	Professional		$60.29	$70.51	$76.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $53.14 / $79.70 / $200.18	Facility		$53.14	$79.70	$200.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.29 / $72.34	Professional		$60.29	$60.29	$72.34
United Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.29 / $69.33	Professional		$60.29	$60.29	$69.33