Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.89 / $2,476.00 / $7,920.26	Facility		$101.89	$2,476.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.75 / $186.27 / $470.86	Professional		$44.75	$186.27	$470.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.15 / $198.85 / $555.61	Professional		$88.15	$198.85	$555.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.26 / $174.76 / $457.95	Professional		$92.26	$174.76	$457.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.95 / $174.76 / $507.45	Facility		$69.95	$174.76	$507.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.93 / $293.55 / $583.54	Professional		$77.93	$293.55	$583.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $97.82 / $347.40 / $395.30	Facility		$97.82	$347.40	$395.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.95 / $303.01 / $507.45	Facility		$69.95	$303.01	$507.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.09 / $243.52 / $533.80	Professional		$96.09	$243.52	$533.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.17 / $169.37 / $547.66	Professional		$95.17	$169.37	$547.66
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $312.70 / $429.11 / $614.94	Professional		$312.70	$429.11	$614.94