Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.01 / $104.37 / $115.39	Facility		$96.01	$104.37	$115.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.71 / $67.48 / $253.63	Professional		$46.71	$67.48	$253.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.91 / $106.57 / $139.97	Professional		$71.91	$106.57	$139.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.41 / $106.60 / $120.03	Professional		$85.41	$106.60	$120.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.48 / $104.99 / $145.10	Facility		$67.48	$104.99	$145.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.87 / $90.53 / $149.60	Professional		$69.87	$90.53	$149.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $69.28 / $91.73 / $96.56	Facility		$69.28	$91.73	$96.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.48 / $112.47 / $145.10	Facility		$67.48	$112.47	$145.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.19 / $109.15 / $138.65	Professional		$85.19	$109.15	$138.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,093.73 / $1,393.32 / $1,719.25	Facility		$1,093.73	$1,393.32	$1,719.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $86.11 / $114.87 / $146.86	Professional		$86.11	$114.87	$146.86
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 $72.27 / $102.64 / $148.94	Professional		$72.27	$102.64	$148.94