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 $90.63 / $100.49 / $120.00	Professional		$90.63	$100.49	$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 $194.95 / $227.10 / $272.37	Professional		$194.95	$227.10	$272.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.02 / $120.28 / $228.25	Facility		$97.02	$120.28	$228.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.58 / $181.28 / $186.25	Professional		$73.58	$181.28	$186.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.73 / $65.59 / $95.59	Facility		$46.73	$65.59	$95.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.02 / $114.55 / $228.25	Facility		$97.02	$114.55	$228.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.70 / $127.90 / $205.68	Professional		$78.70	$127.90	$205.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $160.83 / $240.30 / $291.64	Professional		$160.83	$240.30	$291.64
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 $138.63 / $199.30 / $316.79	Professional		$138.63	$199.30	$316.79