Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.73 / $2,792.00 / $9,383.28	Facility		$351.73	$2,792.00	$9,383.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.99 / $209.75 / $567.04	Professional		$146.99	$209.75	$567.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.37 / $404.05 / $644.37	Professional		$260.37	$404.05	$644.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $294.45 / $428.29 / $560.01	Professional		$294.45	$428.29	$560.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $227.42 / $336.74 / $529.87	Facility		$227.42	$336.74	$529.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.14 / $384.27 / $586.73	Professional		$295.14	$384.27	$586.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $324.38 / $831.84 / $1,267.71	Facility		$324.38	$831.84	$1,267.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $227.42 / $363.68 / $3,005.10	Facility		$227.42	$363.68	$3,005.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.02 / $435.93 / $601.32	Professional		$323.02	$435.93	$601.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $5,124.10 / $6,421.06	Facility		$3,868.81	$5,124.10	$6,421.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $344.42 / $470.43 / $669.88	Professional		$344.42	$470.43	$669.88
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 $294.91 / $429.44 / $745.17	Professional		$294.91	$429.44	$745.17