Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $4,283.46 / $8,728.00	Facility		$175.00	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.12 / $168.20 / $320.08	Professional		$98.12	$168.20	$320.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.19 / $221.13 / $368.99	Professional		$137.19	$221.13	$368.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.47 / $218.19 / $331.05	Professional		$152.47	$218.19	$331.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.19 / $195.50 / $336.77	Facility		$103.19	$195.50	$336.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.09 / $216.69 / $401.76	Professional		$128.09	$216.69	$401.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $154.13 / $244.55 / $276.08	Facility		$154.13	$244.55	$276.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.19 / $221.86 / $1,738.00	Facility		$103.19	$221.86	$1,738.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.04 / $233.89 / $367.08	Professional		$151.04	$233.89	$367.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,568.64 / $2,136.85 / $2,557.23	Facility		$1,568.64	$2,136.85	$2,557.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $152.79 / $250.32 / $385.63	Professional		$152.79	$250.32	$385.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $312.35 / $433.00	Professional		$203.58	$312.35	$433.00