Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.97 / $3,213.00 / $7,920.26	Facility		$305.97	$3,213.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.61 / $211.97 / $588.78	Professional		$146.61	$211.97	$588.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.44 / $367.97 / $497.03	Professional		$198.44	$367.97	$497.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $292.52 / $372.31 / $441.90	Professional		$292.52	$372.31	$441.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $179.84 / $301.32 / $393.38	Facility		$179.84	$301.32	$393.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $227.07 / $291.95 / $500.74	Professional		$227.07	$291.95	$500.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $198.16 / $292.39 / $372.52	Facility		$198.16	$292.39	$372.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $179.84 / $333.72 / $1,738.00	Facility		$179.84	$333.72	$1,738.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $262.02 / $389.67 / $497.03	Professional		$262.02	$389.67	$497.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,041.14 / $9,224.37 / $11,703.59	Facility		$7,041.14	$9,224.37	$11,703.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $294.38 / $404.20 / $523.97	Professional		$294.38	$404.20	$523.97
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 $245.44 / $385.15 / $582.87	Professional		$245.44	$385.15	$582.87