Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.00 / $1,836.16 / $7,920.26	Facility		$213.00	$1,836.16	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.67 / $155.49 / $479.00	Professional		$92.67	$155.49	$479.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.44 / $273.51 / $417.56	Professional		$139.44	$273.51	$417.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.89 / $289.72 / $375.97	Professional		$213.89	$289.72	$375.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.42 / $215.00 / $301.94	Facility		$126.42	$215.00	$301.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $157.08 / $228.78 / $420.17	Professional		$157.08	$228.78	$420.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.61 / $206.72 / $314.23	Facility		$141.61	$206.72	$314.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.42 / $221.94 / $402.45	Facility		$126.42	$221.94	$402.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $187.05 / $287.60 / $416.42	Professional		$187.05	$287.60	$416.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,799.56 / $2,403.83 / $3,156.31	Facility		$1,799.56	$2,403.83	$3,156.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $212.99 / $303.63 / $444.38	Professional		$212.99	$303.63	$444.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.24 / $254.33 / $498.97	Professional		$186.24	$254.33	$498.97