Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.11 / $5,318.00 / $9,672.84	Facility		$209.11	$5,318.00	$9,672.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.06 / $124.80 / $291.62	Professional		$101.06	$124.80	$291.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.05 / $234.14 / $322.70	Professional		$167.05	$234.14	$322.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $222.82 / $250.88	Professional		$155.41	$222.82	$250.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $170.01 / $239.87 / $365.52	Facility		$170.01	$239.87	$365.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $155.84 / $205.90 / $309.80	Professional		$155.84	$205.90	$309.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $116.98 / $189.24 / $203.06	Facility		$116.98	$189.24	$203.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.01 / $245.42 / $365.52	Facility		$170.01	$245.42	$365.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.04 / $243.10 / $318.52	Professional		$183.04	$243.10	$318.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $473.86 / $610.80 / $6,353.74	Facility		$473.86	$610.80	$6,353.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $175.90 / $238.77 / $304.82	Professional		$175.90	$238.77	$304.82
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.64 / $243.72 / $316.47	Professional		$172.64	$243.72	$316.47