Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.76 / $2,824.50 / $7,920.26	Facility		$188.76	$2,824.50	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.76 / $137.75 / $395.86	Professional		$80.76	$137.75	$395.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.96 / $235.62 / $425.93	Professional		$141.96	$235.62	$425.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $219.84 / $372.59	Professional		$162.08	$219.84	$372.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.50 / $227.02 / $357.73	Facility		$117.50	$227.02	$357.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $153.97 / $253.80 / $361.83	Professional		$153.97	$253.80	$361.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $177.66 / $283.41 / $319.58	Facility		$177.66	$283.41	$319.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.50 / $228.77 / $406.74	Facility		$117.50	$228.77	$406.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.88 / $260.30 / $399.49	Professional		$173.88	$260.30	$399.49
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 $178.04 / $291.52 / $449.12	Professional		$178.04	$291.52	$449.12
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 $210.56 / $291.20 / $463.05	Professional		$210.56	$291.20	$463.05