Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.13 / $3,213.00 / $7,920.26	Facility		$225.13	$3,213.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.90 / $133.43 / $458.35	Professional		$100.90	$133.43	$458.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.78 / $287.70 / $452.92	Professional		$148.78	$287.70	$452.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $226.00 / $306.13 / $408.93	Professional		$226.00	$306.13	$408.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $133.43 / $234.48 / $320.30	Facility		$133.43	$234.48	$320.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $246.10 / $456.79	Professional		$168.00	$246.10	$456.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $156.01 / $231.20 / $339.69	Facility		$156.01	$231.20	$339.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.43 / $238.85 / $435.06	Facility		$133.43	$238.85	$435.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.57 / $306.05 / $451.16	Professional		$202.57	$306.05	$451.16
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 $225.30 / $328.23 / $480.38	Professional		$225.30	$328.23	$480.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,113.00	Facility		$1,981.00	$9,074.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.55 / $271.33 / $539.40	Professional		$206.55	$271.33	$539.40