Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.28 / $3,293.38 / $12,704.91	Facility		$43.28	$3,293.38	$12,704.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $273.16 / $8,436.00	Professional		$47.55	$273.16	$8,436.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.69 / $51.97 / $55.82	Facility		$34.69	$51.97	$55.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $50.26	Professional		$47.55	$47.55	$50.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.40 / $94.43 / $110.25	Professional		$75.40	$94.43	$110.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.28 / $49.93 / $119.69	Facility		$43.28	$49.93	$119.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $50.40 / $61.82	Professional		$47.55	$50.40	$61.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42.47 / $48.43 / $142.65	Facility		$42.47	$48.43	$142.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.22 / $47.55 / $102.23	Facility		$21.22	$47.55	$102.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $30.43 / $53.60	Professional		$29.21	$30.43	$53.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.94 / $57.74 / $189.19	Facility		$30.94	$57.74	$189.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $57.06	Professional		$47.55	$47.55	$57.06
United Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $54.68	Professional		$47.55	$47.55	$54.68