Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $6,025.60 / $8,709.64	Facility		$190.55	$6,025.60	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $741.31	Professional		$134.90	$190.55	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $323.59	Professional		$269.15	$269.15	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $602.56	Professional		$407.38	$524.81	$602.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $239.88 / $6,025.60	Facility		$162.18	$239.88	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $218.78 / $6,606.93	Professional		$125.89	$218.78	$6,606.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $5,370.32 / $8,317.64	Facility		$229.09	$5,370.32	$8,317.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $239.88 / $426.58	Facility		$147.91	$239.88	$426.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $208.93 / $489.78	Professional		$79.43	$208.93	$489.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,488.17 / $20,892.96 / $25,703.96	Facility		$15,488.17	$20,892.96	$25,703.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $645.65	Professional		$316.23	$478.63	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $38,018.94	Facility		$2,884.03	$17,782.79	$38,018.94
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $660.69	Professional		$239.88	$346.74	$660.69