Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.74 / $4,704.00 / $8,728.00	Facility		$165.74	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.93 / $110.38 / $323.00	Professional		$73.93	$110.38	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.16 / $169.21 / $221.26	Professional		$109.16	$169.21	$221.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.60 / $167.94 / $189.09	Professional		$118.60	$167.94	$189.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.52 / $149.27 / $215.66	Facility		$87.52	$149.27	$215.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.81 / $140.16 / $238.72	Professional		$117.81	$140.16	$238.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $91.98 / $144.10 / $151.41	Facility		$91.98	$144.10	$151.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.52 / $163.52 / $193.93	Facility		$87.52	$163.52	$193.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.08 / $177.38 / $223.44	Professional		$132.08	$177.38	$223.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $388.62 / $388.62 / $388.62	Facility		$388.62	$388.62	$388.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $138.99 / $184.61 / $236.03	Professional		$138.99	$184.61	$236.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.48 / $169.84 / $240.46	Professional		$116.48	$169.84	$240.46