Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,629.40 / $8,728.00	Facility		$2,747.00	$6,629.40	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.61 / $154.19 / $907.75	Professional		$55.61	$154.19	$907.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.58 / $193.77 / $415.97	Professional		$103.58	$193.77	$415.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.84 / $142.28 / $348.39	Professional		$96.84	$142.28	$348.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.70 / $173.51 / $395.93	Facility		$80.70	$173.51	$395.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.73 / $206.21 / $450.90	Professional		$82.73	$206.21	$450.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $84.02 / $261.02 / $320.93	Facility		$84.02	$261.02	$320.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.70 / $237.58 / $395.08	Facility		$80.70	$237.58	$395.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.52 / $189.50 / $432.96	Professional		$107.52	$189.50	$432.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $100.35 / $178.59 / $408.37	Professional		$100.35	$178.59	$408.37
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 $250.81 / $353.74 / $458.53	Professional		$250.81	$353.74	$458.53