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 $82.99 / $104.65 / $406.48	Professional		$82.99	$104.65	$406.48
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 $178.47 / $207.88 / $249.40	Professional		$178.47	$207.88	$249.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.48 / $109.88 / $208.33	Facility		$88.48	$109.88	$208.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $181.28 / $186.25	Professional		$63.43	$181.28	$186.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $56.31 / $86.96	Facility		$40.11	$56.31	$86.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.48 / $107.79 / $208.33	Facility		$88.48	$107.79	$208.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $109.80 / $187.58	Professional		$67.56	$109.80	$187.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $147.29 / $220.08 / $267.72	Professional		$147.29	$220.08	$267.72
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 $131.59 / $178.96 / $283.81	Professional		$131.59	$178.96	$283.81