Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.66 / $4,684.68 / $8,728.00	Facility		$124.66	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.57 / $80.29 / $177.80	Professional		$58.57	$80.29	$177.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.20 / $134.79 / $191.52	Professional		$88.20	$134.79	$191.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.84 / $132.96 / $166.14	Professional		$106.84	$132.96	$166.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.29 / $137.69 / $172.62	Facility		$80.29	$137.69	$172.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.26 / $118.88 / $203.34	Professional		$91.26	$118.88	$203.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $92.83 / $130.35 / $138.69	Facility		$92.83	$130.35	$138.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.29 / $143.43 / $209.20	Facility		$80.29	$143.43	$209.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.70 / $142.78 / $186.76	Professional		$105.70	$142.78	$186.76
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 $108.76 / $145.16 / $192.34	Professional		$108.76	$145.16	$192.34
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 $104.94 / $148.04 / $213.96	Professional		$104.94	$148.04	$213.96