Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.12 / $8,878.56 / $20,400.00	Facility		$358.12	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.76 / $220.62 / $866.67	Professional		$172.76	$220.62	$866.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.53 / $365.15 / $485.79	Professional		$223.53	$365.15	$485.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $256.97 / $363.58 / $413.89	Professional		$256.97	$363.58	$413.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $220.62 / $344.06 / $494.27	Facility		$220.62	$344.06	$494.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $262.58 / $346.93 / $521.98	Professional		$262.58	$346.93	$521.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $238.37 / $313.02 / $354.43	Facility		$238.37	$313.02	$354.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $220.62 / $367.66 / $474.33	Facility		$220.62	$367.66	$474.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.10 / $388.44 / $507.79	Professional		$288.10	$388.44	$507.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21,539.32 / $27,893.00 / $33,574.44	Facility		$21,539.32	$27,893.00	$33,574.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $303.20 / $398.89 / $525.44	Professional		$303.20	$398.89	$525.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $254.80 / $370.29 / $519.61	Professional		$254.80	$370.29	$519.61