Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $99.43 / $120.00	Professional		$81.59	$99.43	$120.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.63 / $224.37 / $269.18	Professional		$192.63	$224.37	$269.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.89 / $118.37 / $225.76	Facility		$95.89	$118.37	$225.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.79 / $181.28 / $186.25	Professional		$72.79	$181.28	$186.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $45.95 / $64.48 / $94.51	Facility		$45.95	$64.48	$94.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.89 / $112.73 / $225.76	Facility		$95.89	$112.73	$225.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.38 / $125.74 / $203.29	Professional		$77.38	$125.74	$203.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $237.88 / $289.80	Professional		$159.19	$237.88	$289.80
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 $140.00 / $194.28 / $308.11	Professional		$140.00	$194.28	$308.11