Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.75 / $2,792.00 / $7,920.26	Facility		$280.75	$2,792.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.75 / $438.36 / $940.34	Professional		$149.75	$438.36	$940.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.15 / $463.84 / $1,034.46	Professional		$242.15	$463.84	$1,034.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.74 / $390.07 / $875.40	Professional		$265.74	$390.07	$875.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $182.36 / $392.07 / $973.73	Facility		$182.36	$392.07	$973.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $224.70 / $554.88 / $1,111.02	Professional		$224.70	$554.88	$1,111.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $274.99 / $683.17 / $794.92	Facility		$274.99	$683.17	$794.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $182.36 / $703.70 / $2,327.00	Facility		$182.36	$703.70	$2,327.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $266.77 / $483.70 / $1,044.20	Professional		$266.77	$483.70	$1,044.20
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 $266.73 / $474.71 / $1,075.41	Professional		$266.73	$474.71	$1,075.41
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 $587.54 / $872.00 / $1,207.53	Professional		$587.54	$872.00	$1,207.53