Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.58 / $5,909.76 / $13,184.00	Facility		$80.58	$5,909.76	$13,184.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $55.33 / $7,650.00	Professional		$40.29	$55.33	$7,650.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.63 / $82.85 / $93.64	Facility		$34.63	$82.85	$93.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $46.82	Professional		$40.29	$40.29	$46.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.66 / $103.51 / $148.22	Professional		$77.66	$103.51	$148.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $44.59 / $86.62	Facility		$40.29	$44.59	$86.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $46.33 / $54.95	Professional		$40.29	$46.33	$54.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $49.54 / $120.87	Facility		$39.54	$49.54	$120.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $51.84 / $82.85	Facility		$40.29	$51.84	$82.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $54.69 / $67.70	Professional		$40.29	$54.69	$67.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $55.78 / $79.22 / $147.59	Facility		$55.78	$79.22	$147.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $48.35	Professional		$40.29	$40.29	$48.35
United Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $46.33	Professional		$40.29	$40.29	$46.33