Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.56 / $3,193.32 / $7,920.26	Facility		$169.56	$3,193.32	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $111.25 / $411.70	Professional		$73.05	$111.25	$411.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.92 / $195.36 / $296.99	Professional		$120.92	$195.36	$296.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.72 / $191.97 / $264.04	Professional		$141.72	$191.97	$264.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.92 / $187.92 / $277.10	Facility		$105.92	$187.92	$277.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.62 / $180.91 / $323.19	Professional		$120.62	$180.91	$323.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $127.84 / $204.97 / $220.43	Facility		$127.84	$204.97	$220.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.92 / $208.38 / $283.17	Facility		$105.92	$208.38	$283.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.28 / $209.88 / $303.60	Professional		$145.28	$209.88	$303.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,217.60 / $2,633.84	Facility		$1,719.37	$2,217.60	$2,633.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $147.61 / $213.64 / $312.68	Professional		$147.61	$213.64	$312.68
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 $168.53 / $259.48 / $351.09	Professional		$168.53	$259.48	$351.09