Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.25 / $4,684.68 / $8,728.00	Facility		$85.25	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.45 / $99.71 / $236.10	Professional		$41.45	$99.71	$236.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $105.70 / $199.64	Professional		$66.31	$105.70	$199.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $107.00 / $178.62	Professional		$72.81	$107.00	$178.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.39 / $99.71 / $163.83	Facility		$49.39	$99.71	$163.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.91 / $113.16 / $218.07	Professional		$61.91	$113.16	$218.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $72.31 / $120.88 / $148.74	Facility		$72.31	$120.88	$148.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.39 / $104.59 / $187.92	Facility		$49.39	$104.59	$187.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.92 / $114.66 / $198.11	Professional		$73.92	$114.66	$198.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $598.00 / $848.53 / $1,759.02	Facility		$598.00	$848.53	$1,759.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $122.57 / $207.50	Professional		$74.45	$122.57	$207.50
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 $103.34 / $159.11 / $232.98	Professional		$103.34	$159.11	$232.98