Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $5,116.62 / $8,728.00	Facility		$988.00	$5,116.62	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.44 / $102.23 / $248.63	Professional		$81.44	$102.23	$248.63
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 $171.70 / $199.98 / $239.92	Professional		$171.70	$199.98	$239.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.34 / $107.34 / $204.18	Facility		$87.34	$107.34	$204.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.65 / $181.28 / $186.25	Professional		$62.65	$181.28	$186.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $55.15 / $85.88	Facility		$39.29	$55.15	$85.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.34 / $105.30 / $204.18	Facility		$87.34	$105.30	$204.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.18 / $107.89 / $185.16	Professional		$66.18	$107.89	$185.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $151.08 / $219.13 / $264.35	Professional		$151.08	$219.13	$264.35
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 $122.55 / $174.57 / $279.27	Professional		$122.55	$174.57	$279.27