Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.18 / $2,747.00 / $7,920.26	Facility		$256.18	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.84 / $668.57	Professional		$131.83	$169.84	$668.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.45 / $281.70 / $379.58	Professional		$172.45	$281.70	$379.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.49 / $282.66 / $321.77	Professional		$200.49	$282.66	$321.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.84 / $268.91 / $369.31	Facility		$169.84	$268.91	$369.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $207.08 / $291.06 / $438.48	Professional		$207.08	$291.06	$438.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $185.56 / $244.23 / $270.45	Facility		$185.56	$244.23	$270.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.84 / $294.43 / $369.31	Facility		$169.84	$294.43	$369.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $221.64 / $301.08 / $396.55	Professional		$221.64	$301.08	$396.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $681.43 / $681.43 / $681.43	Facility		$681.43	$681.43	$681.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $236.79 / $311.50 / $410.33	Professional		$236.79	$311.50	$410.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.46 / $267.39 / $405.80	Professional		$202.46	$267.39	$405.80