Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.89 / $4,283.46 / $8,728.00	Facility		$99.89	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $47.39 / $119.37	Professional		$36.96	$47.39	$119.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.71 / $85.51 / $130.79	Professional		$58.71	$85.51	$130.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.34 / $86.97 / $103.05	Professional		$70.34	$86.97	$103.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.84 / $68.39 / $135.82	Facility		$51.84	$68.39	$135.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $80.40 / $141.11	Professional		$70.98	$80.40	$141.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.92 / $85.68 / $93.84	Facility		$64.92	$85.68	$93.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.84 / $79.36 / $135.82	Facility		$51.84	$79.36	$135.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.80 / $89.01 / $129.19	Professional		$74.80	$89.01	$129.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,400.90 / $1,881.12 / $2,351.11	Facility		$1,400.90	$1,881.12	$2,351.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $84.26 / $100.03 / $146.01	Professional		$84.26	$100.03	$146.01
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 $57.99 / $87.10 / $138.50	Professional		$57.99	$87.10	$138.50