Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.33 / $4,684.68 / $8,728.00	Facility		$366.33	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.59 / $249.40 / $869.81	Professional		$172.59	$249.40	$869.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.07 / $400.15 / $509.32	Professional		$240.07	$400.15	$509.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $305.89 / $387.38 / $454.54	Professional		$305.89	$387.38	$454.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $216.16 / $356.64 / $464.74	Facility		$216.16	$356.64	$464.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $269.00 / $324.92 / $552.51	Professional		$269.00	$324.92	$552.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $247.59 / $345.79 / $383.24	Facility		$247.59	$345.79	$383.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $216.16 / $394.61 / $487.40	Facility		$216.16	$394.61	$487.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $306.20 / $406.21 / $522.55	Professional		$306.20	$406.21	$522.55
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 $320.01 / $423.00 / $538.17	Professional		$320.01	$423.00	$538.17
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 $274.38 / $400.56 / $604.29	Professional		$274.38	$400.56	$604.29