Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.81 / $4,704.00 / $8,728.00	Facility		$101.81	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.82 / $61.04 / $242.33	Professional		$43.82	$61.04	$242.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.24 / $102.20 / $138.66	Professional		$61.24	$102.20	$138.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $101.90 / $116.00	Professional		$72.73	$101.90	$116.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.04 / $95.19 / $162.46	Facility		$61.04	$95.19	$162.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $97.88 / $148.55	Professional		$74.73	$97.88	$148.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $68.59 / $88.61 / $104.19	Facility		$68.59	$88.61	$104.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.04 / $111.62 / $162.46	Facility		$61.04	$111.62	$162.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $108.42 / $142.82	Professional		$78.92	$108.42	$142.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $174.04 / $353.32 / $478.20	Facility		$174.04	$353.32	$478.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $86.72 / $114.08 / $150.28	Professional		$86.72	$114.08	$150.28
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 $70.88 / $106.57 / $148.61	Professional		$70.88	$106.57	$148.61