Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.62 / $4,283.46 / $8,728.00	Facility		$193.62	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.04 / $275.45 / $667.81	Professional		$86.04	$275.45	$667.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.59 / $266.31 / $639.10	Professional		$153.59	$266.31	$639.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.26 / $241.33 / $565.32	Professional		$164.26	$241.33	$565.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $132.43 / $284.72 / $624.09	Facility		$132.43	$284.72	$624.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $139.29 / $333.33 / $728.88	Professional		$139.29	$333.33	$728.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $173.53 / $384.58 / $469.67	Facility		$173.53	$384.58	$469.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.43 / $374.49 / $624.09	Facility		$132.43	$374.49	$624.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.35 / $288.26 / $646.76	Professional		$168.35	$288.26	$646.76
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 Facility Modifier 50 Low / Median / High Price $2,367.14 / $3,096.72 / $3,907.34	Facility	50	$2,367.14	$3,096.72	$3,907.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $168.32 / $299.57 / $666.09	Professional		$168.32	$299.57	$666.09
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 $348.15 / $467.48 / $747.93	Professional		$348.15	$467.48	$747.93