Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.27 / $5,649.00 / $15,341.00	Facility		$331.27	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.79 / $153.22 / $473.50	Professional		$109.79	$153.22	$473.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.79 / $284.69 / $451.67	Professional		$191.79	$284.69	$451.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.27 / $295.83 / $347.96	Professional		$239.27	$295.83	$347.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.63 / $245.63 / $439.18	Facility		$173.63	$245.63	$439.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.50 / $269.31 / $488.03	Professional		$245.50	$269.31	$488.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $217.06 / $291.47 / $443.43	Facility		$217.06	$291.47	$443.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $175.04 / $341.59 / $2,919.00	Facility		$175.04	$341.59	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $252.39 / $297.05 / $447.86	Professional		$252.39	$297.05	$447.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $900.57 / $1,208.00 / $1,492.71	Facility		$900.57	$1,208.00	$1,492.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $281.07 / $327.71 / $487.07	Professional		$281.07	$327.71	$487.07
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $215.04 / $294.23 / $463.05	Professional		$215.04	$294.23	$463.05