Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.07 / $3,213.00 / $7,920.26	Facility		$141.07	$3,213.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $164.19 / $388.45	Professional		$71.09	$164.19	$388.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.08 / $213.89 / $440.95	Professional		$121.08	$213.89	$440.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.85 / $193.35 / $398.13	Professional		$131.85	$193.35	$398.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.81 / $214.59 / $416.50	Facility		$99.81	$214.59	$416.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $110.67 / $251.43 / $441.23	Professional		$110.67	$251.43	$441.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $144.05 / $298.12 / $326.95	Facility		$144.05	$298.12	$326.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.81 / $239.53 / $416.50	Facility		$99.81	$239.53	$416.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.03 / $217.35 / $440.35	Professional		$134.03	$217.35	$440.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $5,124.10 / $6,421.06	Facility		$3,868.81	$5,124.10	$6,421.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $134.01 / $238.51 / $456.70	Professional		$134.01	$238.51	$456.70
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 $228.61 / $351.70 / $512.80	Professional		$228.61	$351.70	$512.80