Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.43 / $4,684.68 / $8,728.00	Facility		$96.43	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.95 / $61.02 / $152.78	Professional		$36.95	$61.02	$152.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.70 / $110.26 / $212.52	Professional		$67.70	$110.26	$212.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.41 / $100.81 / $184.23	Professional		$76.41	$100.81	$184.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.97 / $108.73 / $170.98	Facility		$55.97	$108.73	$170.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.91 / $117.74 / $180.90	Professional		$69.91	$117.74	$180.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.43 / $136.68 / $162.81	Facility		$78.43	$136.68	$162.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.97 / $110.10 / $212.81	Facility		$55.97	$110.10	$212.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.16 / $125.02 / $204.44	Professional		$83.16	$125.02	$204.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $86.10 / $141.75 / $234.98	Professional		$86.10	$141.75	$234.98
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 $105.97 / $146.90 / $263.85	Professional		$105.97	$146.90	$263.85