Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.39 / $4,684.68 / $8,728.00	Facility		$96.39	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.43 / $168.49 / $658.16	Professional		$44.43	$168.49	$658.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.02 / $130.79 / $314.48	Professional		$76.02	$130.79	$314.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.74 / $118.23 / $282.02	Professional		$85.74	$118.23	$282.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.33 / $125.41 / $333.20	Facility		$58.33	$125.41	$333.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.58 / $182.54 / $347.67	Professional		$72.58	$182.54	$347.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $86.43 / $223.88 / $250.58	Facility		$86.43	$223.88	$250.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.33 / $168.49 / $333.20	Facility		$58.33	$168.49	$333.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.16 / $151.19 / $337.87	Professional		$83.16	$151.19	$337.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,312.81 / $4,817.66 / $6,738.85	Facility		$3,312.81	$4,817.66	$6,738.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $83.45 / $149.79 / $324.05	Professional		$83.45	$149.79	$324.05
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 $182.50 / $273.61 / $363.84	Professional		$182.50	$273.61	$363.84