Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.51 / $3,213.00 / $8,728.00	Facility		$219.51	$3,213.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.80 / $161.25 / $455.29	Professional		$115.80	$161.25	$455.29
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $799.01 / $799.01 / $799.01	Professional	22	$799.01	$799.01	$799.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.28 / $246.88 / $450.29	Professional		$151.28	$246.88	$450.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.25 / $238.97 / $391.54	Professional		$172.25	$238.97	$391.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $133.79 / $238.73 / $364.19	Facility		$133.79	$238.73	$364.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.88 / $259.08 / $349.86	Professional		$165.88	$259.08	$349.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $178.92 / $285.00 / $337.68	Facility		$178.92	$285.00	$337.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.07 / $238.73 / $435.06	Facility		$128.07	$238.73	$435.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.96 / $269.60 / $422.10	Professional		$179.96	$269.60	$422.10
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 $190.98 / $309.45 / $480.38	Professional		$190.98	$309.45	$480.38
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 $195.83 / $300.16 / $463.05	Professional		$195.83	$300.16	$463.05