Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.63 / $4,684.68 / $8,728.00	Facility		$87.63	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $52.03 / $159.01	Professional		$40.74	$52.03	$159.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $95.81 / $133.16	Professional		$61.31	$95.81	$133.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.09 / $93.94 / $118.15	Professional		$75.09	$93.94	$118.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.75 / $91.77 / $115.83	Facility		$46.75	$91.77	$115.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.58 / $84.91 / $148.32	Professional		$64.58	$84.91	$148.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $59.97 / $89.85 / $101.17	Facility		$59.97	$89.85	$101.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.75 / $97.75 / $127.86	Facility		$46.75	$97.75	$127.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.27 / $101.52 / $137.08	Professional		$75.27	$101.52	$137.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $103.08 / $141.18	Professional		$77.04	$103.08	$141.18
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 $75.92 / $103.72 / $158.51	Professional		$75.92	$103.72	$158.51