Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.38 / $2,903.00 / $7,920.26	Facility		$138.38	$2,903.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.45 / $155.55 / $423.24	Professional		$59.45	$155.55	$423.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.60 / $222.94 / $458.48	Professional		$118.60	$222.94	$458.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.19 / $187.60 / $390.18	Professional		$128.19	$187.60	$390.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.92 / $210.53 / $413.21	Facility		$97.92	$210.53	$413.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.28 / $229.02 / $432.08	Professional		$107.28	$229.02	$432.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $119.26 / $291.55 / $319.58	Facility		$119.26	$291.55	$319.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.92 / $247.95 / $413.21	Facility		$97.92	$247.95	$413.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $214.26 / $432.77	Professional		$128.00	$214.26	$432.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $4,855.54 / $6,069.32	Facility		$3,868.81	$4,855.54	$6,069.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $230.44 / $439.64	Professional		$129.47	$230.44	$439.64
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 $248.04 / $354.92 / $493.66	Professional		$248.04	$354.92	$493.66