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 $83.89 / $90.97 / $100.41	Professional		$83.89	$90.97	$100.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.10 / $195.78 / $234.88	Professional		$168.10	$195.78	$234.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.41 / $110.45 / $216.63	Facility		$100.41	$110.45	$216.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $120.30 / $175.99 / $267.45	Facility		$120.30	$175.99	$267.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.41 / $105.43 / $216.63	Facility		$100.41	$105.43	$216.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.12 / $124.12 / $187.96	Professional		$124.12	$124.12	$187.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $246.28 / $358.06 / $1,081.48	Facility		$246.28	$358.06	$1,081.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $148.37 / $215.20 / $259.62	Professional		$148.37	$215.20	$259.62
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.60 / $182.69 / $306.97	Professional		$128.60	$182.69	$306.97