Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.58 / $2,747.00 / $7,920.26	Facility		$216.58	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.68 / $115.79 / $571.05	Professional		$99.68	$115.79	$571.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.18 / $243.78 / $330.42	Professional		$160.18	$243.78	$330.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.43 / $244.50 / $275.27	Professional		$172.43	$244.50	$275.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.79 / $211.27 / $270.27	Facility		$115.79	$211.27	$270.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $163.02 / $199.55 / $356.47	Professional		$163.02	$199.55	$356.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $140.02 / $197.88 / $225.12	Facility		$140.02	$197.88	$225.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.79 / $235.71 / $287.45	Facility		$115.79	$235.71	$287.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $189.76 / $258.18 / $330.42	Professional		$189.76	$258.18	$330.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $763.05 / $997.66 / $1,243.51	Facility		$763.05	$997.66	$1,243.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $206.04 / $275.69 / $352.46	Professional		$206.04	$275.69	$352.46
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 $170.55 / $242.22 / $356.40	Professional		$170.55	$242.22	$356.40