Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $2,818.38 / $7,943.28	Facility		$186.21	$2,818.38	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $371.54 / $1,047.13	Professional		$74.13	$371.54	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $354.81 / $977.24	Professional		$114.82	$354.81	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $831.76	Professional		$125.89	$194.98	$831.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $537.03 / $4,677.35	Facility		$91.20	$537.03	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $346.74 / $912.01	Professional		$128.82	$346.74	$912.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $691.83 / $1,000.00	Facility		$416.87	$691.83	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $331.13 / $758.58	Facility		$91.20	$331.13	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $223.87 / $1,000.00	Professional		$79.43	$223.87	$1,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $2,691.53	Facility		$1,737.80	$2,238.72	$2,691.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $288.40 / $977.24	Professional		$158.49	$288.40	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,951.21 / $7,413.10	Facility		$1,096.48	$2,951.21	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $363.08 / $1,071.52	Professional		$123.03	$363.08	$1,071.52