Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.38 / $7,920.26 / $20,400.00	Facility		$295.38	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.74 / $196.28 / $708.80	Professional		$147.74	$196.28	$708.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.02 / $301.33 / $402.20	Professional		$182.02	$301.33	$402.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.41 / $300.89 / $342.54	Professional		$212.41	$300.89	$342.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $180.17 / $280.98 / $429.48	Facility		$180.17	$280.98	$429.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $243.78 / $296.95 / $434.99	Professional		$243.78	$296.95	$434.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $189.44 / $258.74 / $279.85	Facility		$189.44	$258.74	$279.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.17 / $329.23 / $7,280.00	Facility		$180.17	$329.23	$7,280.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.13 / $317.58 / $421.28	Professional		$234.13	$317.58	$421.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,954.82 / $17,563.07 / $20,571.93	Facility		$12,954.82	$17,563.07	$20,571.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $252.78 / $332.54 / $438.04	Professional		$252.78	$332.54	$438.04
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 $210.60 / $277.19 / $433.21	Professional		$210.60	$277.19	$433.21