Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.61 / $2,747.00 / $7,920.26	Facility		$275.61	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.09 / $256.49 / $765.03	Professional		$150.09	$256.49	$765.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.54 / $378.16 / $643.33	Professional		$245.54	$378.16	$643.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.37 / $379.29 / $573.66	Professional		$265.37	$379.29	$573.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $188.33 / $351.54 / $607.19	Facility		$188.33	$351.54	$607.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $224.70 / $377.34 / $703.35	Professional		$224.70	$377.34	$703.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $270.52 / $433.56 / $481.73	Facility		$270.52	$433.56	$481.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.33 / $391.53 / $617.83	Facility		$188.33	$391.53	$617.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $272.19 / $419.95 / $660.17	Professional		$272.19	$419.95	$660.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,993.29 / $6,338.31 / $7,624.85	Facility		$4,993.29	$6,338.31	$7,624.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $273.20 / $442.82 / $682.20	Professional		$273.20	$442.82	$682.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $359.34 / $481.70 / $766.01	Professional		$359.34	$481.70	$766.01