Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.73 / $7,920.26 / $20,400.00	Facility		$263.73	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.78 / $176.86 / $639.45	Professional		$146.78	$176.86	$639.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $262.77 / $350.08	Professional		$161.19	$262.77	$350.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.66 / $267.89 / $304.97	Professional		$189.66	$267.89	$304.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.66 / $265.27 / $410.17	Facility		$162.66	$265.27	$410.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $286.08 / $377.69	Professional		$190.00	$286.08	$377.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $172.97 / $234.49 / $281.64	Facility		$172.97	$234.49	$281.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.66 / $304.63 / $7,455.00	Facility		$162.66	$304.63	$7,455.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.40 / $284.00 / $365.65	Professional		$213.40	$284.00	$365.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,954.82 / $16,642.54 / $20,571.93	Facility		$12,954.82	$16,642.54	$20,571.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.34 / $287.23 / $378.36	Professional		$218.34	$287.23	$378.36
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 $188.15 / $261.33 / $374.17	Professional		$188.15	$261.33	$374.17