Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.04 / $2,041.60 / $7,341.31	Facility		$137.04	$2,041.60	$7,341.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.43 / $145.01 / $480.00	Professional		$93.43	$145.01	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.01 / $225.06 / $303.86	Professional		$147.01	$225.06	$303.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.08 / $226.65 / $255.19	Professional		$159.08	$226.65	$255.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.57 / $193.96 / $290.64	Facility		$106.57	$193.96	$290.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $159.12 / $186.00 / $327.84	Professional		$159.12	$186.00	$327.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $139.16 / $193.79 / $207.03	Facility		$139.16	$193.79	$207.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.57 / $219.68 / $263.44	Facility		$106.57	$219.68	$263.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.88 / $239.37 / $303.86	Professional		$177.88	$239.37	$303.86
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 $188.81 / $253.53 / $324.14	Professional		$188.81	$253.53	$324.14
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 $156.26 / $227.70 / $326.61	Professional		$156.26	$227.70	$326.61