Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.17 / $4,704.00 / $8,728.00	Facility		$201.17	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.73 / $220.22 / $483.36	Professional		$86.73	$220.22	$483.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.46 / $205.99 / $375.61	Professional		$111.46	$205.99	$375.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.50 / $203.52 / $231.68	Professional		$145.50	$203.52	$231.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $121.14 / $205.01 / $700.65	Facility		$121.14	$205.01	$700.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $146.24 / $233.25 / $567.45	Professional		$146.24	$233.25	$567.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $148.50 / $180.90 / $565.91	Facility		$148.50	$180.90	$565.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.14 / $260.08 / $3,023.00	Facility		$121.14	$260.08	$3,023.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.63 / $216.80 / $335.85	Professional		$150.63	$216.80	$335.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,905.09 / $4,483.20 / $5,995.38	Facility		$1,905.09	$4,483.20	$5,995.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $166.68 / $219.27 / $288.83	Professional		$166.68	$219.27	$288.83
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 $147.40 / $263.70 / $591.49	Professional		$147.40	$263.70	$591.49