Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.08 / $2,747.00 / $7,920.26	Facility		$112.08	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.03 / $159.56 / $405.36	Professional		$50.03	$159.56	$405.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.75 / $184.48 / $565.12	Professional		$79.75	$184.48	$565.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.12 / $194.28 / $510.24	Professional		$105.12	$194.28	$510.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.33 / $270.41 / $445.78	Facility		$72.33	$270.41	$445.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.17 / $262.64 / $470.50	Professional		$87.17	$262.64	$470.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $101.84 / $319.93 / $424.11	Facility		$101.84	$319.93	$424.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.33 / $284.86 / $532.39	Facility		$72.33	$284.86	$532.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.64 / $218.41 / $555.19	Professional		$96.64	$218.41	$555.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.76 / $173.98 / $604.23	Professional		$97.76	$173.98	$604.23
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 $240.22 / $383.90 / $670.29	Professional		$240.22	$383.90	$670.29