Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.08 / $4,684.68 / $8,728.00	Facility		$148.08	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.53 / $142.09 / $367.43	Professional		$60.53	$142.09	$367.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.90 / $202.58 / $416.98	Professional		$117.90	$202.58	$416.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.08 / $185.23 / $354.66	Professional		$126.08	$185.23	$354.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.42 / $200.85 / $376.78	Facility		$93.42	$200.85	$376.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $229.20 / $440.07	Professional		$109.41	$229.20	$440.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $135.34 / $265.60 / $300.16	Facility		$135.34	$265.60	$300.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.42 / $226.09 / $486.09	Facility		$93.42	$226.09	$486.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.22 / $216.30 / $417.80	Professional		$132.22	$216.30	$417.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $4,855.54 / $6,069.32	Facility		$3,868.81	$4,855.54	$6,069.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $132.72 / $236.20 / $430.17	Professional		$132.72	$236.20	$430.17
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 $231.09 / $324.93 / $483.02	Professional		$231.09	$324.93	$483.02