Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.72 / $4,283.46 / $8,728.00	Facility		$191.72	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.86 / $91.53 / $299.24	Professional		$57.86	$91.53	$299.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.51 / $209.78 / $314.86	Professional		$133.51	$209.78	$314.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.50 / $214.84 / $276.17	Professional		$151.50	$214.84	$276.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.71 / $168.57 / $288.36	Facility		$112.71	$168.57	$288.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.24 / $198.42 / $306.61	Professional		$154.24	$198.42	$306.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.91 / $221.45 / $242.54	Facility		$141.91	$221.45	$242.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.71 / $177.00 / $308.92	Facility		$112.71	$177.00	$308.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $176.70 / $227.68 / $306.80	Professional		$176.70	$227.68	$306.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $184.32 / $240.26 / $341.10	Professional		$184.32	$240.26	$341.10
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.25 / $240.05 / $382.99	Professional		$159.25	$240.05	$382.99