Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.72 / $4,684.68 / $8,728.00	Facility		$139.72	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.18 / $95.32 / $282.17	Professional		$65.18	$95.32	$282.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.14 / $159.96 / $236.03	Professional		$98.14	$159.96	$236.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.76 / $162.21 / $213.71	Professional		$119.76	$162.21	$213.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.32 / $152.72 / $203.15	Facility		$82.32	$152.72	$203.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.94 / $145.18 / $261.30	Professional		$101.94	$145.18	$261.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $106.79 / $156.78 / $178.22	Facility		$106.79	$156.78	$178.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.32 / $167.95 / $227.40	Facility		$82.32	$167.95	$227.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $118.23 / $167.90 / $236.61	Professional		$118.23	$167.90	$236.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $598.00 / $773.56 / $1,044.82	Facility		$598.00	$773.56	$1,044.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $122.36 / $171.56 / $251.09	Professional		$122.36	$171.56	$251.09
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 $128.79 / $198.29 / $281.93	Professional		$128.79	$198.29	$281.93