Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.21 / $4,684.68 / $8,728.00	Facility		$150.21	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $136.15 / $352.21	Professional		$63.84	$136.15	$352.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.72 / $202.58 / $387.69	Professional		$115.72	$202.58	$387.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.65 / $192.85 / $343.36	Professional		$133.65	$192.85	$343.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.14 / $215.30 / $376.25	Facility		$100.14	$215.30	$376.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $111.94 / $220.68 / $380.80	Professional		$111.94	$220.68	$380.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $118.20 / $254.98 / $285.32	Facility		$118.20	$254.98	$285.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.14 / $225.77 / $376.25	Facility		$100.14	$225.77	$376.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.29 / $208.06 / $392.40	Professional		$130.29	$208.06	$392.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,539.74 / $4,494.80 / $5,709.03	Facility		$3,539.74	$4,494.80	$5,709.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $130.77 / $232.74 / $404.58	Professional		$130.77	$232.74	$404.58
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 $209.56 / $294.92 / $450.06	Professional		$209.56	$294.92	$450.06