Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.25 / $4,704.00 / $8,728.00	Facility		$85.25	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $50.55 / $188.77	Professional		$39.22	$50.55	$188.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.64 / $84.82 / $125.55	Professional		$53.64	$84.82	$125.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $81.25 / $98.54	Professional		$69.06	$81.25	$98.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.05 / $83.29 / $121.25	Facility		$45.05	$83.29	$121.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.45 / $79.56 / $113.55	Professional		$62.45	$79.56	$113.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $62.70 / $75.37 / $89.11	Facility		$62.70	$75.37	$89.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.13 / $89.11 / $121.25	Facility		$45.13	$89.11	$121.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.43 / $88.14 / $112.11	Professional		$69.43	$88.14	$112.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $88.98 / $119.59	Professional		$70.73	$88.98	$119.59
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 $57.63 / $85.80 / $121.21	Professional		$57.63	$85.80	$121.21