Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $6,025.60 / $8,709.64	Facility		$154.88	$6,025.60	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $162.18	Professional		$93.33	$134.90	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $363.08	Professional		$234.42	$302.00	$363.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $162.18 / $338.84	Facility		$131.83	$162.18	$338.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $5,248.07	Professional		$114.82	$141.25	$5,248.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,348.96 / $2,818.38	Facility		$128.82	$1,348.96	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $158.49 / $263.03	Facility		$125.89	$158.49	$263.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $288.40 / $1,513.56	Professional		$79.43	$288.40	$1,513.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,912.51 / $14,454.40	Facility		$4,570.88	$8,912.51	$14,454.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $295.12 / $389.05	Professional		$234.42	$295.12	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,495.41 / $14,454.40	Facility		$1,548.82	$5,495.41	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $398.11	Professional		$186.21	$275.42	$398.11