Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.16 / $7,920.26 / $20,400.00	Facility		$285.16	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.28 / $171.90 / $682.81	Professional		$145.28	$171.90	$682.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.29 / $289.37 / $390.40	Professional		$178.29	$289.37	$390.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.32 / $290.87 / $331.12	Professional		$206.32	$290.87	$331.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $171.90 / $268.08 / $420.22	Facility		$171.90	$268.08	$420.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $212.95 / $280.60 / $423.32	Professional		$212.95	$280.60	$423.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $193.80 / $251.34 / $285.42	Facility		$193.80	$251.34	$285.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $171.90 / $340.67 / $7,455.00	Facility		$171.90	$340.67	$7,455.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $230.58 / $308.88 / $406.89	Professional		$230.58	$308.88	$406.89
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 $244.17 / $321.20 / $423.12	Professional		$244.17	$321.20	$423.12
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 $199.92 / $290.88 / $418.43	Professional		$199.92	$290.88	$418.43