Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.68 / $3,213.00 / $8,728.00	Facility		$120.68	$3,213.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $134.58 / $297.45	Professional		$61.09	$134.58	$297.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $169.36 / $273.57	Professional		$103.02	$169.36	$273.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.24 / $151.84 / $245.08	Professional		$103.24	$151.84	$245.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $166.00 / $315.68	Facility		$75.70	$166.00	$315.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.38 / $170.96 / $278.39	Professional		$93.38	$170.96	$278.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $87.77 / $129.10 / $232.49	Facility		$87.77	$129.10	$232.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $168.30 / $315.68	Facility		$75.70	$168.30	$315.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.95 / $170.33 / $280.60	Professional		$105.95	$170.33	$280.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $900.57 / $1,208.00 / $1,492.71	Facility		$900.57	$1,208.00	$1,492.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $105.53 / $187.59 / $288.99	Professional		$105.53	$187.59	$288.99
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 $151.19 / $263.38 / $324.50	Professional		$151.19	$263.38	$324.50