Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.19 / $4,082.08 / $9,700.20	Facility		$150.19	$4,082.08	$9,700.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.29 / $181.92 / $704.57	Professional		$74.29	$181.92	$704.57
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $106.16 / $439.76 / $1,571.75	Professional	50	$106.16	$439.76	$1,571.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.21 / $223.35 / $480.31	Professional		$134.21	$223.35	$480.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.68 / $206.70 / $430.95	Professional		$140.68	$206.70	$430.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.81 / $236.09 / $468.35	Facility		$109.81	$236.09	$468.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $118.49 / $253.76 / $531.69	Professional		$118.49	$253.76	$531.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $145.02 / $323.16 / $352.42	Facility		$145.02	$323.16	$352.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.81 / $262.42 / $468.35	Facility		$109.81	$262.42	$468.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.19 / $241.18 / $481.01	Professional		$146.19	$241.18	$481.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,328.38 / $8,364.56 / $10,637.18	Facility		$5,328.38	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.37 / $256.94 / $495.54	Professional		$144.37	$256.94	$495.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $256.88 / $363.72 / $556.41	Professional		$256.88	$363.72	$556.41