Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $1,606.50 / $8,728.00	Facility		$255.00	$1,606.50	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.48 / $172.28 / $520.58	Professional		$108.48	$172.28	$520.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.75 / $339.90 / $538.60	Professional		$214.75	$339.90	$538.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $243.96 / $354.95 / $465.29	Professional		$243.96	$354.95	$465.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $188.13 / $285.00 / $445.74	Facility		$188.13	$285.00	$445.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $243.90 / $314.94 / $484.85	Professional		$243.90	$314.94	$484.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $181.64 / $258.27 / $389.68	Facility		$181.64	$258.27	$389.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $184.72 / $285.00 / $509.71	Facility		$184.72	$285.00	$509.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $267.00 / $362.92 / $500.83	Professional		$267.00	$362.92	$500.83
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 $273.69 / $388.27 / $562.82	Professional		$273.69	$388.27	$562.82
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 $251.73 / $362.70 / $576.75	Professional		$251.73	$362.70	$576.75