Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.40 / $4,684.68 / $8,728.00	Facility		$134.40	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $111.95 / $305.75	Professional		$67.50	$111.95	$305.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.84 / $177.01 / $329.95	Professional		$105.84	$177.01	$329.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.52 / $142.16 / $285.77	Professional		$108.52	$142.16	$285.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.48 / $172.26 / $299.23	Facility		$85.48	$172.26	$299.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.46 / $194.27 / $254.76	Professional		$102.46	$194.27	$254.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $112.63 / $214.89 / $252.59	Facility		$112.63	$214.89	$252.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.48 / $184.57 / $315.89	Facility		$85.48	$184.57	$315.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $113.28 / $181.87 / $310.48	Professional		$113.28	$181.87	$310.48
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 $115.88 / $206.24 / $347.73	Professional		$115.88	$206.24	$347.73
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 $163.09 / $236.30 / $358.66	Professional		$163.09	$236.30	$358.66