Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $2,187.76 / $6,606.93	Facility		$269.15	$2,187.76	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $269.15 / $724.44	Professional		$100.00	$269.15	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $331.13 / $851.14	Professional		$151.36	$331.13	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $309.03 / $758.58	Professional		$173.78	$309.03	$758.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $512.86 / $3,715.35	Facility		$147.91	$512.86	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $467.74 / $831.76	Professional		$154.88	$467.74	$831.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $562.34 / $630.96	Facility		$398.11	$562.34	$630.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $338.84 / $724.44	Facility		$125.89	$338.84	$724.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $281.84 / $831.76	Professional		$79.43	$281.84	$831.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $2,630.27	Facility		$1,584.89	$2,041.74	$2,630.27
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $2,344.23 / $3,090.30 / $3,890.45	Facility	50	$2,344.23	$3,090.30	$3,890.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $371.54 / $794.33	Professional		$208.93	$371.54	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,754.23 / $7,413.10	Facility		$1,096.48	$2,754.23	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $407.38 / $831.76	Professional		$169.82	$407.38	$831.76