Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.22 / $4,684.68 / $8,728.00	Facility		$195.22	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $95.86 / $277.02	Professional		$66.34	$95.86	$277.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.43 / $174.15 / $265.63	Professional		$117.43	$174.15	$265.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.76 / $183.00 / $221.27	Professional		$141.76	$183.00	$221.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.42 / $136.16 / $223.07	Facility		$105.42	$136.16	$223.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $137.69 / $163.68 / $285.39	Professional		$137.69	$163.68	$285.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $120.16 / $166.16 / $192.29	Facility		$120.16	$166.16	$192.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.27 / $162.69 / $2,522.10	Facility		$106.27	$162.69	$2,522.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.84 / $183.04 / $259.14	Professional		$147.84	$183.04	$259.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $168.32 / $212.01 / $301.06	Professional		$168.32	$212.01	$301.06
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 $127.66 / $184.15 / $292.50	Professional		$127.66	$184.15	$292.50