Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $4,283.46 / $8,728.00	Facility		$64.41	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $45.42 / $154.13	Professional		$29.57	$45.42	$154.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.84 / $73.14 / $104.94	Professional		$45.84	$73.14	$104.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.69 / $71.14 / $89.79	Professional		$53.69	$71.14	$89.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.58 / $65.38 / $90.95	Facility		$33.58	$65.38	$90.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $64.80 / $111.99	Professional		$45.90	$64.80	$111.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $45.36 / $69.73 / $76.38	Facility		$45.36	$69.73	$76.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.58 / $71.40 / $99.54	Facility		$33.58	$71.40	$99.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.81 / $75.11 / $104.97	Professional		$54.81	$75.11	$104.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.97 / $76.72 / $109.91	Professional		$56.97	$76.72	$109.91
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 $56.61 / $78.11 / $123.41	Professional		$56.61	$78.11	$123.41