Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.79 / $4,704.00 / $8,728.00	Facility		$227.79	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.68 / $137.79 / $538.29	Professional		$103.68	$137.79	$538.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.19 / $235.43 / $321.57	Professional		$155.19	$235.43	$321.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.61 / $242.61 / $273.14	Professional		$168.61	$242.61	$273.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $137.79 / $207.40 / $318.41	Facility		$137.79	$207.40	$318.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $170.34 / $191.58 / $350.11	Professional		$170.34	$191.58	$350.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $124.22 / $190.50 / $219.09	Facility		$124.22	$190.50	$219.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.79 / $214.88 / $296.25	Facility		$137.79	$214.88	$296.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.85 / $249.83 / $320.29	Professional		$183.85	$249.83	$320.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,722.06 / $2,201.77 / $2,738.85	Facility		$1,722.06	$2,201.77	$2,738.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $198.04 / $268.30 / $343.02	Professional		$198.04	$268.30	$343.02
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 $155.56 / $232.21 / $339.40	Professional		$155.56	$232.21	$339.40