Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.52 / $4,684.68 / $8,728.00	Facility		$67.52	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $63.09 / $116.20	Professional		$28.35	$63.09	$116.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.04 / $89.49 / $192.53	Professional		$49.04	$89.49	$192.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.28 / $71.78 / $164.62	Professional		$54.28	$71.78	$164.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.20 / $76.36 / $160.07	Facility		$39.20	$76.36	$160.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.05 / $112.08 / $166.77	Professional		$50.05	$112.08	$166.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49.98 / $121.98 / $143.38	Facility		$49.98	$121.98	$143.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.20 / $92.67 / $184.49	Facility		$39.20	$92.67	$184.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.79 / $95.68 / $181.37	Professional		$57.79	$95.68	$181.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $98.87 / $203.71	Professional		$58.91	$98.87	$203.71
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 $93.32 / $132.59 / $210.85	Professional		$93.32	$132.59	$210.85