Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.93 / $4,704.00 / $8,728.00	Facility		$177.93	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.90 / $111.01 / $447.10	Professional		$76.90	$111.01	$447.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.33 / $182.57 / $264.23	Professional		$125.33	$182.57	$264.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.02 / $183.48 / $206.58	Professional		$129.02	$183.48	$206.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.01 / $195.27 / $273.06	Facility		$111.01	$195.27	$273.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.63 / $166.20 / $255.71	Professional		$128.63	$166.20	$255.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $120.16 / $157.18 / $184.71	Facility		$120.16	$157.18	$184.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.01 / $203.37 / $1,738.00	Facility		$111.01	$203.37	$1,738.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.22 / $189.50 / $237.58	Professional		$146.22	$189.50	$237.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $737.82 / $929.08 / $1,173.02	Facility		$737.82	$929.08	$1,173.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $145.76 / $194.46 / $248.61	Professional		$145.76	$194.46	$248.61
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 $129.32 / $184.86 / $252.14	Professional		$129.32	$184.86	$252.14