Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.32 / $4,684.68 / $8,728.00	Facility		$60.32	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $45.78 / $100.42	Professional		$25.23	$45.78	$100.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.12 / $80.05 / $158.26	Professional		$43.12	$80.05	$158.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.09 / $62.64 / $138.40	Professional		$48.09	$62.64	$138.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.15 / $68.84 / $126.36	Facility		$36.15	$68.84	$126.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $84.89 / $123.55	Professional		$42.70	$84.89	$123.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $69.34 / $115.91	Facility		$47.97	$69.34	$115.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.51 / $76.68 / $148.44	Facility		$36.51	$76.68	$148.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $80.80 / $148.78	Professional		$51.20	$80.80	$148.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,400.90 / $1,985.16 / $2,351.11	Facility		$1,400.90	$1,985.16	$2,351.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $51.79 / $86.02 / $163.92	Professional		$51.79	$86.02	$163.92
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 $75.66 / $102.50 / $182.33	Professional		$75.66	$102.50	$182.33