Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.75 / $4,684.68 / $8,728.00	Facility		$110.75	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.30 / $153.41 / $493.31	Professional		$55.30	$153.41	$493.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.50 / $165.65 / $414.81	Professional		$89.50	$165.65	$414.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.45 / $142.86 / $372.58	Professional		$95.45	$142.86	$372.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.28 / $156.19 / $337.84	Facility		$66.28	$156.19	$337.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.13 / $190.74 / $453.84	Professional		$81.13	$190.74	$453.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $105.38 / $247.89 / $309.54	Facility		$105.38	$247.89	$309.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.28 / $211.09 / $397.30	Facility		$66.28	$211.09	$397.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.85 / $180.76 / $414.81	Professional		$96.85	$180.76	$414.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,548.90 / $3,192.87 / $4,140.82	Facility		$2,548.90	$3,192.87	$4,140.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $96.46 / $171.68 / $438.69	Professional		$96.46	$171.68	$438.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $215.17 / $284.19 / $492.59	Professional		$215.17	$284.19	$492.59