Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.24 / $4,962.67 / $15,341.00	Facility		$244.24	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.98 / $237.90 / $575.54	Professional		$122.98	$237.90	$575.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.05 / $291.04 / $445.39	Professional		$168.05	$291.04	$445.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.82 / $295.04 / $402.13	Professional		$217.82	$295.04	$402.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $157.47 / $262.27 / $392.45	Facility		$157.47	$262.27	$392.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $180.92 / $263.13 / $485.28	Professional		$180.92	$263.13	$485.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $180.50 / $276.45 / $330.98	Facility		$180.50	$276.45	$330.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.47 / $308.43 / $2,327.00	Facility		$157.47	$308.43	$2,327.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $206.64 / $301.77 / $442.17	Professional		$206.64	$301.77	$442.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,909.34 / $10,378.18 / $13,050.49	Facility		$6,909.34	$10,378.18	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $212.35 / $310.77 / $460.49	Professional		$212.35	$310.77	$460.49
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 $233.48 / $309.62 / $517.04	Professional		$233.48	$309.62	$517.04