Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.58 / $3,213.00 / $8,728.00	Facility		$343.58	$3,213.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.55 / $235.76 / $653.21	Professional		$146.55	$235.76	$653.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.92 / $374.88 / $518.66	Professional		$239.92	$374.88	$518.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $291.25 / $368.36 / $435.60	Professional		$291.25	$368.36	$435.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $235.76 / $370.51 / $526.66	Facility		$235.76	$370.51	$526.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $254.49 / $309.07 / $536.34	Professional		$254.49	$309.07	$536.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $247.10 / $349.77 / $368.56	Facility		$247.10	$349.77	$368.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $235.76 / $390.15 / $526.66	Facility		$235.76	$390.15	$526.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $292.25 / $388.89 / $501.39	Professional		$292.25	$388.89	$501.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,578.09 / $2,064.48 / $2,604.89	Facility		$1,578.09	$2,064.48	$2,604.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $300.39 / $400.29 / $515.44	Professional		$300.39	$400.29	$515.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $279.83 / $389.92 / $578.77	Professional		$279.83	$389.92	$578.77