Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.03 / $89.64 / $99.07	Facility		$82.03	$89.64	$99.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $57.69 / $218.77	Professional		$39.88	$57.69	$218.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.95 / $91.53 / $120.53	Professional		$61.95	$91.53	$120.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.01 / $91.13 / $102.60	Professional		$73.01	$91.13	$102.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.69 / $89.97 / $124.03	Facility		$57.69	$89.97	$124.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.69 / $78.08 / $127.33	Professional		$60.69	$78.08	$127.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $59.59 / $78.39 / $83.64	Facility		$59.59	$78.39	$83.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.69 / $96.36 / $124.03	Facility		$57.69	$96.36	$124.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.39 / $94.59 / $119.70	Professional		$73.39	$94.59	$119.70
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 $73.81 / $98.46 / $125.88	Professional		$73.81	$98.46	$125.88
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 $62.40 / $87.92 / $127.65	Professional		$62.40	$87.92	$127.65