Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.86 / $2,747.00 / $7,920.26	Facility		$202.86	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $132.58 / $250.07	Professional		$80.31	$132.58	$250.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.82 / $232.17 / $384.18	Professional		$139.82	$232.17	$384.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.58 / $213.26 / $335.31	Professional		$145.58	$213.26	$335.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.98 / $200.57 / $341.96	Facility		$115.98	$200.57	$341.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.31 / $231.10 / $304.38	Professional		$147.31	$231.10	$304.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.50 / $241.90 / $292.79	Facility		$141.50	$241.90	$292.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.98 / $205.17 / $372.42	Facility		$115.98	$205.17	$372.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.62 / $252.12 / $365.99	Professional		$172.62	$252.12	$365.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,101.36 / $2,633.84	Facility		$1,719.37	$2,101.36	$2,633.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $178.68 / $266.92 / $411.22	Professional		$178.68	$266.92	$411.22
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 $187.21 / $269.75 / $428.94	Professional		$187.21	$269.75	$428.94