Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $6,606.93 / $7,943.28	Facility		$95.50	$6,606.93	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $95.50	Professional		$61.66	$79.43	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $371.54 / $371.54	Professional		$125.89	$371.54	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $173.78 / $213.80	Professional		$154.88	$173.78	$213.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $95.50 / $213.80	Facility		$74.13	$95.50	$213.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $95.50	Professional		$61.66	$77.62	$95.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $158.49 / $162.18	Facility		$112.20	$158.49	$162.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $91.20 / $154.88	Facility		$61.66	$91.20	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $371.54 / $371.54	Professional		$79.43	$371.54	$371.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $263.03 / $331.13	Facility		$120.23	$263.03	$331.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $218.78	Professional		$125.89	$158.49	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $218.78	Professional		$87.10	$87.10	$218.78