Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.86 / $1,823.40 / $3,787.90	Facility		$161.86	$1,823.40	$3,787.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.05 / $131.58 / $551.00	Professional		$66.05	$131.58	$551.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.64 / $200.61 / $362.84	Professional		$124.64	$200.61	$362.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.13 / $201.06 / $324.32	Professional		$136.13	$201.06	$324.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.84 / $194.67 / $418.54	Facility		$99.84	$194.67	$418.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.81 / $221.61 / $423.32	Professional		$115.81	$221.61	$423.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.05 / $450.80 / $672.38	Facility		$141.05	$450.80	$672.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.84 / $194.67 / $359.55	Facility		$99.84	$194.67	$359.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $224.54 / $362.84	Professional		$139.97	$224.54	$362.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,217.60 / $2,786.49	Facility		$1,719.37	$2,217.60	$2,786.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $141.13 / $250.32 / $385.63	Professional		$141.13	$250.32	$385.63
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 $198.18 / $344.98 / $451.77	Professional		$198.18	$344.98	$451.77