Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $68.26 / $107.92	Professional		$55.33	$68.26	$107.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.61 / $140.59 / $223.26	Professional		$93.61	$140.59	$223.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.38 / $155.02 / $187.30	Professional		$125.38	$155.02	$187.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.73 / $113.32 / $178.45	Facility		$91.73	$113.32	$178.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.34 / $62.34 / $154.40	Professional		$62.34	$62.34	$154.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $144.32 / $158.79	Facility		$75.00	$144.32	$158.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.18 / $113.32 / $178.45	Facility		$97.18	$113.32	$178.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.19 / $152.83 / $233.06	Professional		$104.19	$152.83	$233.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,400.90 / $1,985.16 / $2,351.11	Facility		$1,400.90	$1,985.16	$2,351.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.53 / $163.19 / $250.46	Professional		$144.53	$163.19	$250.46
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 $103.35 / $143.21 / $224.28	Professional		$103.35	$143.21	$224.28