Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.09 / $4,962.67 / $15,341.00	Facility		$73.09	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.95 / $182.22 / $871.95	Professional		$36.95	$182.22	$871.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.12 / $108.08 / $395.66	Professional		$59.12	$108.08	$395.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $91.82 / $348.01	Professional		$62.50	$91.82	$348.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.51 / $132.52 / $418.20	Facility		$45.51	$132.52	$418.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $222.55 / $442.23	Professional		$53.55	$222.55	$442.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $69.01 / $274.50 / $321.60	Facility		$69.01	$274.50	$321.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.51 / $283.58 / $3,601.00	Facility		$45.51	$283.58	$3,601.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.46 / $193.01 / $432.69	Professional		$63.46	$193.01	$432.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,578.09 / $2,064.48 / $2,604.89	Facility		$1,578.09	$2,064.48	$2,604.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.45 / $112.92 / $412.16	Professional		$63.45	$112.92	$412.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $237.64 / $330.39 / $462.80	Professional		$237.64	$330.39	$462.80