Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.94 / $4,684.68 / $8,728.00	Facility		$271.94	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.60 / $175.83 / $495.75	Professional		$100.60	$175.83	$495.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.09 / $320.58 / $538.55	Professional		$185.09	$320.58	$538.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.84 / $298.18 / $463.56	Professional		$203.84	$298.18	$463.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.30 / $269.52 / $443.66	Facility		$158.30	$269.52	$443.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $198.54 / $316.49 / $415.12	Professional		$198.54	$316.49	$415.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $197.22 / $285.42 / $388.46	Facility		$197.22	$285.42	$388.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $156.15 / $284.33 / $512.29	Facility		$156.15	$284.33	$512.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $224.40 / $333.53 / $500.83	Professional		$224.40	$333.53	$500.83
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 $236.95 / $367.18 / $565.66	Professional		$236.95	$367.18	$565.66
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 $254.44 / $366.61 / $582.96	Professional		$254.44	$366.61	$582.96