Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.20 / $5,649.00 / $15,341.00	Facility		$284.20	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.70 / $151.94 / $644.00	Professional		$119.70	$151.94	$644.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.68 / $284.12 / $384.50	Professional		$180.68	$284.12	$384.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.97 / $295.18 / $332.35	Professional		$206.97	$295.18	$332.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.94 / $258.45 / $368.39	Facility		$151.94	$258.45	$368.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $202.47 / $236.22 / $415.90	Professional		$202.47	$236.22	$415.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $186.53 / $248.25 / $262.48	Facility		$186.53	$248.25	$262.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.94 / $319.55 / $3,274.00	Facility		$151.94	$319.55	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $230.24 / $308.00 / $384.50	Professional		$230.24	$308.00	$384.50
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 $237.41 / $320.82 / $410.16	Professional		$237.41	$320.82	$410.16
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 $201.93 / $310.89 / $410.65	Professional		$201.93	$310.89	$410.65