Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.70 / $7,920.26 / $20,400.00	Facility		$263.70	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.33 / $160.97 / $313.70	Professional		$81.33	$160.97	$313.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.65 / $275.00 / $353.03	Professional		$176.65	$275.00	$353.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.29 / $277.30 / $316.35	Professional		$192.29	$277.30	$316.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $178.44 / $255.17 / $383.65	Facility		$178.44	$255.17	$383.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $191.60 / $208.94 / $380.87	Professional		$191.60	$208.94	$380.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $160.06 / $225.79 / $240.53	Facility		$160.06	$225.79	$240.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.44 / $297.37 / $6,246.00	Facility		$178.44	$297.37	$6,246.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $212.28 / $277.70 / $353.03	Professional		$212.28	$277.70	$353.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.34 / $294.56 / $376.59	Professional		$218.34	$294.56	$376.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.61 / $266.02 / $374.17	Professional		$178.61	$266.02	$374.17