Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.11 / $4,962.67 / $15,341.00	Facility		$174.11	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.01 / $143.26 / $420.81	Professional		$81.01	$143.26	$420.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.80 / $199.05 / $329.31	Professional		$120.80	$199.05	$329.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.26 / $199.47 / $297.32	Professional		$147.26	$199.47	$297.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.09 / $180.70 / $260.08	Facility		$92.09	$180.70	$260.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $126.49 / $180.02 / $370.35	Professional		$126.49	$180.02	$370.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $127.42 / $186.93 / $252.59	Facility		$127.42	$186.93	$252.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.09 / $197.64 / $326.08	Facility		$92.09	$197.64	$326.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.40 / $218.04 / $334.84	Professional		$150.40	$218.04	$334.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,224.37 / $15,008.49 / $18,619.91	Facility		$9,224.37	$15,008.49	$18,619.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $153.43 / $233.71 / $360.05	Professional		$153.43	$233.71	$360.05
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 $164.39 / $212.38 / $404.28	Professional		$164.39	$212.38	$404.28