Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.14 / $7,920.26 / $20,400.00	Facility		$287.14	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.06 / $183.28 / $645.86	Professional		$127.06	$183.28	$645.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $311.04 / $428.79	Professional		$165.00	$311.04	$428.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.85 / $308.45 / $381.64	Professional		$247.85	$308.45	$381.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $149.44 / $259.14 / $345.25	Facility		$149.44	$259.14	$345.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $187.77 / $252.45 / $471.51	Professional		$187.77	$252.45	$471.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $259.81 / $321.60	Facility		$170.54	$259.81	$321.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $149.44 / $279.13 / $2,748.00	Facility		$149.44	$279.13	$2,748.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.26 / $324.52 / $427.69	Professional		$217.26	$324.52	$427.69
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 $245.10 / $335.87 / $452.91	Professional		$245.10	$335.87	$452.91
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 $211.14 / $289.80 / $508.54	Professional		$211.14	$289.80	$508.54