Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.03 / $4,684.68 / $8,728.00	Facility		$102.03	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.27 / $64.04 / $269.32	Professional		$42.27	$64.04	$269.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $96.61 / $140.29	Professional		$54.79	$96.61	$140.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $103.26 / $125.37	Professional		$88.00	$103.26	$125.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.47 / $88.66 / $137.69	Facility		$51.47	$88.66	$137.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $93.96 / $141.69	Professional		$80.29	$93.96	$141.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $76.06 / $96.04 / $107.90	Facility		$76.06	$96.04	$107.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.26 / $97.29 / $137.69	Facility		$57.26	$97.29	$137.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.83 / $108.33 / $135.91	Professional		$81.83	$108.33	$135.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,093.73 / $1,459.75 / $1,719.25	Facility		$1,093.73	$1,459.75	$1,719.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.03 / $114.02 / $140.22	Professional		$91.03	$114.02	$140.22
United Facility/Professional Facility Modifier Low / Median / High Price $61.26 / $4,113.00 / $6,216.00	Facility		$61.26	$4,113.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $105.30 / $151.93	Professional		$70.56	$105.30	$151.93