Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.95 / $3,060.00 / $7,920.26	Facility		$184.95	$3,060.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.76 / $130.25 / $447.60	Professional		$82.76	$130.25	$447.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.62 / $214.89 / $341.08	Professional		$131.62	$214.89	$341.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.88 / $211.15 / $304.67	Professional		$155.88	$211.15	$304.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $113.75 / $186.70 / $340.85	Facility		$113.75	$186.70	$340.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $135.04 / $220.97 / $406.36	Professional		$135.04	$220.97	$406.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $138.60 / $232.07 / $270.68	Facility		$138.60	$232.07	$270.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.75 / $207.50 / $340.85	Facility		$113.75	$207.50	$340.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.65 / $248.26 / $370.98	Professional		$161.65	$248.26	$370.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,217.60 / $2,786.49	Facility		$1,719.37	$2,217.60	$2,786.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $165.09 / $242.33 / $373.32	Professional		$165.09	$242.33	$373.32
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 $194.31 / $273.61 / $415.29	Professional		$194.31	$273.61	$415.29