Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $3,630.78 / $9,332.54	Facility		$93.33	$3,630.78	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $53.70 / $107.15	Professional		$42.66	$53.70	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $102.33 / $158.49	Professional		$56.23	$102.33	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $120.23	Professional		$69.18	$91.20	$120.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $69.18 / $5,011.87	Facility		$50.12	$69.18	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $154.88	Professional		$66.07	$87.10	$154.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $91.20 / $95.50	Facility		$77.62	$91.20	$95.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $69.18 / $117.49	Facility		$52.48	$69.18	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $131.83	Professional		$70.79	$91.20	$131.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $9,772.37 / $11,748.98	Facility		$7,079.46	$9,772.37	$11,748.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $100.00 / $128.82	Professional		$89.13	$100.00	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,772.37 / $14,125.38	Facility		$1,995.26	$9,772.37	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $131.83	Professional		$60.26	$91.20	$131.83