Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.76 / $3,925.18 / $15,341.00	Facility		$343.76	$3,925.18	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.85 / $216.26 / $404.46	Professional		$129.85	$216.26	$404.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.57 / $399.22 / $643.58	Professional		$236.57	$399.22	$643.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.28 / $375.97 / $555.58	Professional		$251.28	$375.97	$555.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $210.32 / $334.76 / $531.63	Facility		$210.32	$334.76	$531.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $250.85 / $379.47 / $498.66	Professional		$250.85	$379.47	$498.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $220.59 / $339.62 / $478.38	Facility		$220.59	$339.62	$478.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.20 / $344.90 / $610.97	Facility		$199.20	$344.90	$610.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $286.52 / $418.93 / $597.98	Professional		$286.52	$418.93	$597.98
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 $299.10 / $437.90 / $674.62	Professional		$299.10	$437.90	$674.62
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 $311.35 / $447.48 / $750.46	Professional		$311.35	$447.48	$750.46