Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.94 / $4,704.00 / $8,728.00	Facility		$82.94	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $49.42 / $200.84	Professional		$38.76	$49.42	$200.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.02 / $84.51 / $123.12	Professional		$56.02	$84.51	$123.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.27 / $83.75 / $94.30	Professional		$59.27	$83.75	$94.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.42 / $77.06 / $106.25	Facility		$49.42	$77.06	$106.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.12 / $71.28 / $117.75	Professional		$57.12	$71.28	$117.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.78 / $72.05 / $77.52	Facility		$53.78	$72.05	$77.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.42 / $92.96 / $2,724.00	Facility		$49.42	$92.96	$2,724.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.78 / $88.99 / $111.41	Professional		$67.78	$88.99	$111.41
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 $68.88 / $91.90 / $117.49	Professional		$68.88	$91.90	$117.49
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 $57.00 / $90.58 / $119.15	Professional		$57.00	$90.58	$119.15