Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.41 / $3,213.00 / $8,728.00	Facility		$143.41	$3,213.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.67 / $98.92 / $308.24	Professional		$63.67	$98.92	$308.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.70 / $185.09 / $310.45	Professional		$112.70	$185.09	$310.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.51 / $167.12 / $269.61	Professional		$117.51	$167.12	$269.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.83 / $158.97 / $271.76	Facility		$90.83	$158.97	$271.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.21 / $185.20 / $247.62	Professional		$114.21	$185.20	$247.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $122.55 / $212.26 / $233.83	Facility		$122.55	$212.26	$233.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.83 / $170.39 / $366.34	Facility		$90.83	$170.39	$366.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.09 / $198.05 / $293.64	Professional		$134.09	$198.05	$293.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $137.25 / $218.88 / $331.63	Professional		$137.25	$218.88	$331.63
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 $152.18 / $222.95 / $354.53	Professional		$152.18	$222.95	$354.53