Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.08 / $5,380.00 / $15,341.00	Facility		$280.08	$5,380.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.93 / $201.19 / $450.75	Professional		$103.93	$201.19	$450.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.09 / $329.22 / $553.76	Professional		$191.09	$329.22	$553.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.60 / $307.64 / $476.49	Professional		$209.60	$307.64	$476.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $163.13 / $278.44 / $454.28	Facility		$163.13	$278.44	$454.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.42 / $325.02 / $425.53	Professional		$204.42	$325.02	$425.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $199.47 / $304.44 / $410.71	Facility		$199.47	$304.44	$410.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $159.60 / $291.74 / $523.44	Facility		$159.60	$291.74	$523.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $231.04 / $344.40 / $513.94	Professional		$231.04	$344.40	$513.94
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 $243.42 / $375.16 / $577.98	Professional		$243.42	$375.16	$577.98
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 $271.19 / $375.05 / $596.40	Professional		$271.19	$375.05	$596.40