Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.53 / $4,283.46 / $8,728.00	Facility		$197.53	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.60 / $151.97 / $406.79	Professional		$90.60	$151.97	$406.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.36 / $223.98 / $389.83	Professional		$134.36	$223.98	$389.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.15 / $236.76 / $358.10	Professional		$168.15	$236.76	$358.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $133.54 / $228.55 / $361.98	Facility		$133.54	$228.55	$361.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $233.20 / $362.30	Professional		$151.27	$233.20	$362.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $167.23 / $259.95 / $298.14	Facility		$167.23	$259.95	$298.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.80 / $232.11 / $385.29	Facility		$134.80	$232.11	$385.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.93 / $255.45 / $390.10	Professional		$170.93	$255.45	$390.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $171.56 / $264.45 / $397.99	Professional		$171.56	$264.45	$397.99
United Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $1,078.00 / $5,183.00	Facility		$177.00	$1,078.00	$5,183.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.65 / $286.35 / $465.15	Professional		$211.65	$286.35	$465.15