Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.39 / $2,747.00 / $7,920.26	Facility		$264.39	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.40 / $176.71 / $603.00	Professional		$117.40	$176.71	$603.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.81 / $332.87 / $519.46	Professional		$173.81	$332.87	$519.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $261.29 / $353.92 / $469.00	Professional		$261.29	$353.92	$469.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.12 / $271.57 / $368.18	Facility		$154.12	$271.57	$368.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $196.02 / $281.13 / $524.54	Professional		$196.02	$281.13	$524.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $180.23 / $262.26 / $389.94	Facility		$180.23	$262.26	$389.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.12 / $277.02 / $501.13	Facility		$154.12	$277.02	$501.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.36 / $352.02 / $517.67	Professional		$234.36	$352.02	$517.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,048.47	Facility		$4,573.85	$5,897.44	$7,048.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $260.89 / $378.08 / $553.34	Professional		$260.89	$378.08	$553.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.19 / $345.97 / $615.53	Professional		$239.19	$345.97	$615.53