Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.55 / $4,684.68 / $8,728.00	Facility		$186.55	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.09 / $251.24 / $496.92	Professional		$110.09	$251.24	$496.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.18 / $242.75 / $507.17	Professional		$146.18	$242.75	$507.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.77 / $212.81 / $450.42	Professional		$157.77	$212.81	$450.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.66 / $275.70 / $592.76	Facility		$112.66	$275.70	$592.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.94 / $294.08 / $577.44	Professional		$140.94	$294.08	$577.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $205.69 / $362.14 / $476.84	Facility		$205.69	$362.14	$476.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.66 / $374.14 / $2,748.00	Facility		$112.66	$374.14	$2,748.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.36 / $265.36 / $535.37	Professional		$159.36	$265.36	$535.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,274.77 / $9,065.01 / $11,932.41	Facility		$4,274.77	$9,065.01	$11,932.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $160.99 / $286.89 / $538.17	Professional		$160.99	$286.89	$538.17
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 $283.55 / $478.63 / $604.29	Professional		$283.55	$478.63	$604.29