Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.71 / $4,684.68 / $8,728.00	Facility		$100.71	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.44 / $170.25 / $285.25	Professional		$107.44	$170.25	$285.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.49 / $173.49 / $173.49	Professional		$173.49	$173.49	$173.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.25 / $307.39 / $477.44	Professional		$209.25	$307.39	$477.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.86 / $285.25 / $589.04	Facility		$136.86	$285.25	$589.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $175.07 / $320.58 / $618.54	Professional		$175.07	$320.58	$618.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $186.23 / $375.63 / $464.98	Facility		$186.23	$375.63	$464.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.86 / $285.25 / $589.04	Facility		$136.86	$285.25	$589.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.49 / $323.27 / $605.36	Professional		$203.49	$323.27	$605.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,009.09 / $1,148.95 / $1,578.01	Facility		$1,009.09	$1,148.95	$1,578.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $185.25 / $356.31 / $623.46	Professional		$185.25	$356.31	$623.46
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 $360.88 / $533.62 / $693.54	Professional		$360.88	$533.62	$693.54