Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.87 / $4,684.68 / $8,728.00	Facility		$136.87	$4,684.68	$8,728.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $62.74 / $68.44 / $77.81	Facility	52	$62.74	$68.44	$77.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.15 / $83.55 / $218.15	Professional		$60.15	$83.55	$218.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.37 / $143.81 / $219.54	Professional		$100.37	$143.81	$219.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.74 / $140.38 / $165.46	Professional		$117.74	$140.38	$165.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.55 / $154.52 / $233.55	Facility		$83.55	$154.52	$233.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.08 / $139.78 / $206.90	Professional		$104.08	$139.78	$206.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $103.95 / $126.34 / $160.80	Facility		$103.95	$126.34	$160.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.55 / $157.03 / $249.82	Facility		$83.55	$157.03	$249.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $113.85 / $144.54 / $182.91	Professional		$113.85	$144.54	$182.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,265.38 / $2,911.98 / $3,609.89	Facility		$2,265.38	$2,911.98	$3,609.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.55 / $148.94 / $198.26	Professional		$112.55	$148.94	$198.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.14 / $142.13 / $192.87	Professional		$93.14	$142.13	$192.87