Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.40 / $988.00 / $6,629.40	Facility		$82.40	$988.00	$6,629.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $104.26 / $495.00	Professional		$38.89	$104.26	$495.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $139.01 / $293.91	Professional		$74.56	$139.01	$293.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $116.77 / $237.99	Professional		$79.48	$116.77	$237.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.17 / $155.52 / $295.27	Facility		$59.17	$155.52	$295.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.78 / $155.31 / $295.68	Professional		$67.78	$155.31	$295.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.73 / $186.68 / $214.40	Facility		$81.73	$186.68	$214.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.17 / $155.52 / $279.64	Facility		$59.17	$155.52	$279.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.58 / $137.28 / $281.52	Professional		$81.58	$137.28	$281.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,217.60 / $2,633.84	Facility		$1,719.37	$2,217.60	$2,633.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $145.18 / $289.93	Professional		$81.56	$145.18	$289.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.83 / $232.08 / $325.54	Professional		$164.83	$232.08	$325.54