Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.23 / $4,283.46 / $8,728.00	Facility		$122.23	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.62 / $93.81 / $241.87	Professional		$66.62	$93.81	$241.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.08 / $145.18 / $252.89	Professional		$85.08	$145.18	$252.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.75 / $127.98 / $220.34	Professional		$95.75	$127.98	$220.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.53 / $134.46 / $225.76	Facility		$73.53	$134.46	$225.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.40 / $154.86 / $196.46	Professional		$93.40	$154.86	$196.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $106.59 / $174.45 / $189.80	Facility		$106.59	$174.45	$189.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.64 / $134.59 / $241.98	Facility		$73.64	$134.59	$241.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $160.30 / $237.01	Professional		$101.60	$160.30	$237.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $861.54 / $1,116.86 / $1,502.14	Facility		$861.54	$1,116.86	$1,502.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.47 / $173.44 / $267.20	Professional		$107.47	$173.44	$267.20
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.40 / $180.23 / $278.04	Professional		$123.40	$180.23	$278.04