Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.44 / $4,684.68 / $8,728.00	Facility		$150.44	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $199.62 / $514.80	Professional		$71.20	$199.62	$514.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.31 / $221.31 / $503.49	Professional		$108.31	$221.31	$503.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.29 / $188.60 / $413.37	Professional		$134.29	$188.60	$413.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.53 / $177.65 / $430.84	Facility		$91.53	$177.65	$430.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.74 / $246.48 / $443.66	Professional		$117.74	$246.48	$443.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $136.97 / $330.51 / $364.48	Facility		$136.97	$330.51	$364.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.06 / $197.93 / $439.35	Facility		$92.06	$197.93	$439.35
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $65.14 / $65.14 / $65.14	Facility	80	$65.14	$65.14	$65.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.30 / $232.55 / $471.04	Professional		$135.30	$232.55	$471.04
Providence Facility/Professional Professional Modifier 80 Low / Median / High Price $51.31 / $65.37 / $91.70	Professional	80	$51.31	$65.37	$91.70
Providence Facility/Professional Professional Modifier AS Low / Median / High Price $43.61 / $55.56 / $77.95	Professional	AS	$43.61	$55.56	$77.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $133.36 / $237.35 / $462.43	Professional		$133.36	$237.35	$462.43
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.26 / $398.12 / $556.07	Professional		$223.26	$398.12	$556.07