Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.49 / $2,606.80 / $8,621.76	Facility		$280.49	$2,606.80	$8,621.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $189.21 / $541.97	Professional		$124.49	$189.21	$541.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $354.54 / $558.79	Professional		$227.28	$354.54	$558.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.14 / $371.76 / $484.48	Professional		$257.14	$371.76	$484.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $200.65 / $294.92 / $467.04	Facility		$200.65	$294.92	$467.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $256.72 / $331.44 / $510.34	Professional		$256.72	$331.44	$510.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $181.64 / $260.30 / $405.74	Facility		$181.64	$260.30	$405.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.89 / $294.92 / $526.87	Facility		$195.89	$294.92	$526.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $282.72 / $378.20 / $519.25	Professional		$282.72	$378.20	$519.25
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 $286.61 / $407.17 / $581.77	Professional		$286.61	$407.17	$581.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $284.69 / $366.03 / $594.94	Professional		$284.69	$366.03	$594.94