Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.90 / $4,962.67 / $15,341.00	Facility		$236.90	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.56 / $125.39 / $371.85	Professional		$86.56	$125.39	$371.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.60 / $241.34 / $388.47	Professional		$151.60	$241.34	$388.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.34 / $256.14 / $334.70	Professional		$175.34	$256.14	$334.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $137.05 / $209.08 / $318.31	Facility		$137.05	$209.08	$318.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.99 / $227.90 / $345.88	Professional		$173.99	$227.90	$345.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $147.65 / $200.67 / $280.31	Facility		$147.65	$200.67	$280.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.33 / $209.08 / $369.84	Facility		$135.33	$209.08	$369.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $189.44 / $258.17 / $365.20	Professional		$189.44	$258.17	$365.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,217.60 / $2,633.84	Facility		$1,719.37	$2,217.60	$2,633.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $194.97 / $279.02 / $408.37	Professional		$194.97	$279.02	$408.37
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 $186.59 / $258.06 / $410.35	Professional		$186.59	$258.06	$410.35