Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.67 / $4,704.00 / $8,728.00	Facility		$76.67	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.21 / $51.46 / $87.98	Professional		$31.21	$51.46	$87.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.08 / $78.48 / $114.58	Professional		$50.08	$78.48	$114.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.85 / $77.89 / $87.70	Professional		$54.85	$77.89	$87.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.46 / $74.83 / $116.05	Facility		$51.46	$74.83	$116.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.98 / $64.64 / $109.29	Professional		$54.98	$64.64	$109.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.93 / $65.50 / $70.04	Facility		$48.93	$65.50	$70.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.46 / $83.43 / $116.05	Facility		$51.46	$83.43	$116.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.60 / $81.59 / $102.74	Professional		$60.60	$81.59	$102.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $555.45 / $674.64 / $914.40	Facility		$555.45	$674.64	$914.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $85.33 / $109.10	Professional		$63.96	$85.33	$109.10
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 $52.93 / $75.90 / $110.64	Professional		$52.93	$75.90	$110.64