Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.02 / $1,023.00 / $7,920.26	Facility		$276.02	$1,023.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.68 / $172.66 / $484.64	Professional		$112.68	$172.66	$484.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.24 / $332.58 / $525.89	Professional		$211.24	$332.58	$525.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.42 / $348.25 / $453.96	Professional		$239.42	$348.25	$453.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $188.73 / $278.33 / $437.89	Facility		$188.73	$278.33	$437.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $238.57 / $310.08 / $474.26	Professional		$238.57	$310.08	$474.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $181.68 / $270.86 / $380.19	Facility		$181.68	$270.86	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.55 / $278.33 / $498.56	Facility		$183.55	$278.33	$498.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $262.80 / $355.95 / $489.10	Professional		$262.80	$355.95	$489.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,217.60 / $2,786.49	Facility		$1,719.37	$2,217.60	$2,786.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $283.56 / $385.44 / $550.50	Professional		$283.56	$385.44	$550.50
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 $254.66 / $352.96 / $561.25	Professional		$254.66	$352.96	$561.25