Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.95 / $4,704.00 / $8,728.00	Facility		$326.95	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.91 / $195.18 / $784.30	Professional		$148.91	$195.18	$784.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.52 / $323.26 / $439.57	Professional		$206.52	$323.26	$439.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $344.09 / $388.53	Professional		$240.00	$344.09	$388.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $195.18 / $304.38 / $419.64	Facility		$195.18	$304.38	$419.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $220.32 / $264.74 / $476.39	Professional		$220.32	$264.74	$476.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $208.25 / $281.39 / $299.88	Facility		$208.25	$281.39	$299.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.18 / $356.90 / $2,724.00	Facility		$195.18	$356.90	$2,724.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $262.33 / $341.29 / $437.43	Professional		$262.33	$341.29	$437.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,993.29 / $6,338.31 / $8,066.74	Facility		$4,993.29	$6,338.31	$8,066.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $366.76 / $467.89	Professional		$270.00	$366.76	$467.89
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 $222.04 / $315.64 / $467.04	Professional		$222.04	$315.64	$467.04