Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.13 / $4,704.00 / $8,728.00	Facility		$150.13	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.93 / $88.39 / $357.91	Professional		$68.93	$88.39	$357.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.42 / $154.79 / $201.59	Professional		$100.42	$154.79	$201.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.85 / $158.90 / $178.91	Professional		$110.85	$158.90	$178.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.39 / $139.51 / $190.04	Facility		$88.39	$139.51	$190.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $110.67 / $128.03 / $220.68	Professional		$110.67	$128.03	$220.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $100.29 / $129.01 / $138.69	Facility		$100.29	$129.01	$138.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.39 / $158.19 / $190.04	Facility		$88.39	$158.19	$190.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.17 / $157.21 / $200.93	Professional		$120.17	$157.21	$200.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,993.29 / $6,338.31 / $7,624.85	Facility		$4,993.29	$6,338.31	$7,624.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $168.20 / $215.05	Professional		$124.23	$168.20	$215.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.39 / $143.53 / $214.90	Professional		$101.39	$143.53	$214.90