Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.67 / $2,275.00 / $6,561.84	Facility		$222.67	$2,275.00	$6,561.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.62 / $172.44 / $612.00	Professional		$68.62	$172.44	$612.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $217.50 / $467.54	Professional		$122.37	$217.50	$467.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $236.99 / $422.15	Professional		$161.38	$236.99	$422.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.06 / $181.04 / $337.84	Facility		$99.06	$181.04	$337.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.72 / $222.70 / $511.80	Professional		$123.72	$222.70	$511.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $138.02 / $240.53 / $349.07	Facility		$138.02	$240.53	$349.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.06 / $212.98 / $454.79	Facility		$99.06	$212.98	$454.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $237.50 / $469.04	Professional		$155.00	$237.50	$469.04
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 Facility Modifier 50 Low / Median / High Price $5,803.22 / $7,283.31 / $9,103.98	Facility	50	$5,803.22	$7,283.31	$9,103.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $164.44 / $265.39 / $502.18	Professional		$164.44	$265.39	$502.18
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 $188.15 / $289.68 / $563.86	Professional		$188.15	$289.68	$563.86