Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.57 / $2,747.00 / $15,341.00	Facility		$302.57	$2,747.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.20 / $175.77 / $608.21	Professional		$103.20	$175.77	$608.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.73 / $384.74 / $620.75	Professional		$224.73	$384.74	$620.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.92 / $401.92 / $566.08	Professional		$300.92	$401.92	$566.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $175.77 / $333.93 / $508.24	Facility		$175.77	$333.93	$508.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $244.98 / $365.44 / $622.72	Professional		$244.98	$365.44	$622.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $227.37 / $378.95 / $461.63	Facility		$227.37	$378.95	$461.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $175.77 / $357.85 / $588.66	Facility		$175.77	$357.85	$588.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.60 / $411.78 / $608.90	Professional		$281.60	$411.78	$608.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $763.05 / $1,045.22 / $1,243.51	Facility		$763.05	$1,045.22	$1,243.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $290.64 / $427.32 / $613.84	Professional		$290.64	$427.32	$613.84
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $331.02 / $429.10 / $729.85	Professional		$331.02	$429.10	$729.85