Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.63 / $4,684.68 / $8,728.00	Facility		$116.63	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.47 / $113.83 / $280.57	Professional		$61.47	$113.83	$280.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.50 / $140.01 / $231.32	Professional		$88.50	$140.01	$231.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.61 / $138.49 / $209.46	Professional		$100.61	$138.49	$209.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.20 / $128.65 / $198.05	Facility		$69.20	$128.65	$198.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.39 / $138.24 / $196.88	Professional		$85.39	$138.24	$196.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $92.86 / $151.41 / $172.86	Facility		$92.86	$151.41	$172.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.20 / $141.62 / $217.96	Facility		$69.20	$141.62	$217.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.52 / $152.46 / $227.93	Professional		$100.52	$152.46	$227.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $307.31 / $396.76 / $478.20	Facility		$307.31	$396.76	$478.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $101.64 / $156.22 / $240.67	Professional		$101.64	$156.22	$240.67
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 $122.43 / $170.60 / $270.22	Professional		$122.43	$170.60	$270.22