Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.88 / $1,345.00 / $6,212.24	Facility		$199.88	$1,345.00	$6,212.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.82 / $235.25 / $981.00	Professional		$91.82	$235.25	$981.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.42 / $315.00 / $663.87	Professional		$171.42	$315.00	$663.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.89 / $270.17 / $590.89	Professional		$183.89	$270.17	$590.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $137.38 / $295.37 / $595.47	Facility		$137.38	$295.37	$595.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.77 / $347.88 / $738.06	Professional		$154.77	$347.88	$738.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $193.63 / $443.43 / $483.07	Facility		$193.63	$443.43	$483.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.38 / $357.32 / $622.12	Facility		$137.38	$357.32	$622.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $189.15 / $319.67 / $667.00	Professional		$189.15	$319.67	$667.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $4,007.70 / $6,069.32	Facility		$1,719.37	$4,007.70	$6,069.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $188.39 / $335.29 / $687.89	Professional		$188.39	$335.29	$687.89
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 $362.43 / $568.74 / $772.39	Professional		$362.43	$568.74	$772.39