Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.43 / $2,659.00 / $7,920.26	Facility		$142.43	$2,659.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $115.80 / $341.44	Professional		$69.45	$115.80	$341.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.39 / $208.00 / $346.02	Professional		$124.39	$208.00	$346.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.65 / $202.62 / $297.60	Professional		$134.65	$202.62	$297.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.26 / $175.20 / $286.08	Facility		$109.26	$175.20	$286.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $133.96 / $200.68 / $266.30	Professional		$133.96	$200.68	$266.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $123.31 / $169.54 / $249.24	Facility		$123.31	$169.54	$249.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.06 / $186.93 / $328.65	Facility		$107.06	$186.93	$328.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.34 / $219.72 / $321.36	Professional		$150.34	$219.72	$321.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $4,855.54 / $6,069.32	Facility		$3,868.81	$4,855.54	$6,069.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.61 / $235.55 / $362.89	Professional		$158.61	$235.55	$362.89
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 $152.68 / $234.00 / $372.09	Professional		$152.68	$234.00	$372.09