Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.68 / $3,213.00 / $8,728.00	Facility		$171.68	$3,213.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.93 / $108.80 / $305.07	Professional		$85.93	$108.80	$305.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.06 / $220.00 / $283.20	Professional		$145.06	$220.00	$283.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.56 / $220.99 / $251.14	Professional		$153.56	$220.99	$251.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $139.58 / $203.00 / $300.10	Facility		$139.58	$203.00	$300.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $153.16 / $171.74 / $304.48	Professional		$153.16	$171.74	$304.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $140.51 / $185.59 / $195.64	Facility		$140.51	$185.59	$195.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.58 / $244.85 / $2,724.00	Facility		$139.58	$244.85	$2,724.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $171.85 / $223.71 / $283.20	Professional		$171.85	$223.71	$283.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $4,855.54 / $6,069.32	Facility		$3,868.81	$4,855.54	$6,069.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $177.13 / $236.30 / $302.11	Professional		$177.13	$236.30	$302.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.54 / $219.43 / $306.42	Professional		$146.54	$219.43	$306.42