Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.93 / $4,283.46 / $8,728.00	Facility		$110.93	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.15 / $75.20 / $209.08	Professional		$45.15	$75.20	$209.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.90 / $127.63 / $216.27	Professional		$78.90	$127.63	$216.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.73 / $117.36 / $189.67	Professional		$82.73	$117.36	$189.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.47 / $110.06 / $188.73	Facility		$63.47	$110.06	$188.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.05 / $129.16 / $161.05	Professional		$79.05	$129.16	$161.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $89.24 / $143.65 / $160.80	Facility		$89.24	$143.65	$160.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.47 / $110.06 / $202.51	Facility		$63.47	$110.06	$202.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $137.71 / $201.00	Professional		$92.71	$137.71	$201.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $96.46 / $145.15 / $223.61	Professional		$96.46	$145.15	$223.61
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 $104.34 / $144.46 / $229.46	Professional		$104.34	$144.46	$229.46