Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.61 / $3,213.00 / $8,728.00	Facility		$274.61	$3,213.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.67 / $221.45 / $660.55	Professional		$124.67	$221.45	$660.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.34 / $353.91 / $595.29	Professional		$209.34	$353.91	$595.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.01 / $345.93 / $533.52	Professional		$242.01	$345.93	$533.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $189.01 / $347.10 / $578.44	Facility		$189.01	$347.10	$578.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $200.94 / $343.71 / $589.52	Professional		$200.94	$343.71	$589.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $212.41 / $388.94 / $437.51	Facility		$212.41	$388.94	$437.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $189.01 / $347.10 / $578.44	Facility		$189.01	$347.10	$578.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $236.35 / $367.04 / $592.61	Professional		$236.35	$367.04	$592.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $238.89 / $402.85 / $620.61	Professional		$238.89	$402.85	$620.61
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 $312.52 / $490.42 / $727.05	Professional		$312.52	$490.42	$727.05