Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $3,019.95 / $6,606.93	Facility		$213.80	$3,019.95	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $131.83 / $436.52	Professional		$69.18	$131.83	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $223.87 / $467.74	Professional		$123.03	$223.87	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $416.87	Professional		$141.25	$218.78	$416.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $239.88 / $4,677.35	Facility		$100.00	$239.88	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $208.93 / $446.68	Professional		$114.82	$208.93	$446.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $281.84 / $346.74	Facility		$173.78	$281.84	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $173.78 / $309.03	Facility		$97.72	$173.78	$309.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $204.17 / $436.52	Professional		$79.43	$204.17	$436.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $6,165.95	Facility		$3,890.45	$5,128.61	$6,165.95
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $5,754.40 / $7,585.78 / $9,332.54	Facility	50	$5,754.40	$7,585.78	$9,332.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $446.68	Professional		$154.88	$229.09	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $194.98 / $346.74	Professional		$109.65	$194.98	$346.74