Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.22 / $1,205.00 / $7,920.26	Facility		$152.22	$1,205.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $129.62 / $268.04	Professional		$74.45	$129.62	$268.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.73 / $216.24 / $408.98	Professional		$127.73	$216.24	$408.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.00 / $197.32 / $357.97	Professional		$149.00	$197.32	$357.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.09 / $202.52 / $336.98	Facility		$105.09	$202.52	$336.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.49 / $231.42 / $348.90	Professional		$134.49	$231.42	$348.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $266.66 / $310.20	Facility		$153.00	$266.66	$310.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.09 / $208.98 / $394.73	Facility		$105.09	$208.98	$394.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.60 / $242.06 / $387.76	Professional		$155.60	$242.06	$387.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,048.47	Facility		$4,573.85	$5,897.44	$7,048.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $159.91 / $263.25 / $435.85	Professional		$159.91	$263.25	$435.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.53 / $278.83 / $476.56	Professional		$193.53	$278.83	$476.56