Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.04 / $4,684.68 / $8,728.00	Facility		$64.04	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $98.25 / $272.89	Professional		$30.57	$98.25	$272.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $121.15 / $284.87	Professional		$54.79	$121.15	$284.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.48 / $95.70 / $252.74	Professional		$59.48	$95.70	$252.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.82 / $109.22 / $345.65	Facility		$43.82	$109.22	$345.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $146.04 / $294.69	Professional		$48.96	$146.04	$294.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.09 / $182.11 / $220.43	Facility		$58.09	$182.11	$220.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.82 / $164.04 / $345.65	Facility		$43.82	$164.04	$345.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.94 / $130.24 / $276.52	Professional		$56.94	$130.24	$276.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,245.03 / $1,550.94 / $2,059.69	Facility		$1,245.03	$1,550.94	$2,059.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.68 / $183.89 / $283.30	Professional		$55.68	$183.89	$283.30
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 $150.51 / $251.24 / $318.10	Professional		$150.51	$251.24	$318.10