Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.03 / $4,684.68 / $8,728.00	Facility		$91.03	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.81 / $81.81 / $202.95	Professional		$44.81	$81.81	$202.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.51 / $115.30 / $205.68	Professional		$71.51	$115.30	$205.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.78 / $115.08 / $185.70	Professional		$78.78	$115.08	$185.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.02 / $102.00 / $173.40	Facility		$54.02	$102.00	$173.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.18 / $121.16 / $224.94	Professional		$66.18	$121.16	$224.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $80.59 / $133.26 / $153.43	Facility		$80.59	$133.26	$153.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.02 / $116.14 / $193.93	Facility		$54.02	$116.14	$193.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.77 / $124.33 / $203.31	Professional		$78.77	$124.33	$203.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $389.95 / $496.95 / $618.64	Facility		$389.95	$496.95	$618.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.63 / $131.09 / $214.14	Professional		$79.63	$131.09	$214.14
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.06 / $167.36 / $240.46	Professional		$107.06	$167.36	$240.46