Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.33 / $1,486.00 / $7,920.26	Facility		$238.33	$1,486.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $155.59 / $485.61	Professional		$104.71	$155.59	$485.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.93 / $297.77 / $472.01	Professional		$191.93	$297.77	$472.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.88 / $312.32 / $406.94	Professional		$216.88	$312.32	$406.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $171.61 / $251.55 / $397.66	Facility		$171.61	$251.55	$397.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $215.62 / $276.08 / $428.63	Professional		$215.62	$276.08	$428.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $168.11 / $244.24 / $340.82	Facility		$168.11	$244.24	$340.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.72 / $251.55 / $448.79	Facility		$164.72	$251.55	$448.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $238.20 / $318.92 / $440.53	Professional		$238.20	$318.92	$440.53
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 $257.02 / $346.73 / $495.54	Professional		$257.02	$346.73	$495.54
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 $229.37 / $319.60 / $551.24	Professional		$229.37	$319.60	$551.24