Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.34 / $4,684.68 / $8,728.00	Facility		$374.34	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.71 / $237.09 / $447.21	Professional		$142.71	$237.09	$447.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.94 / $432.67 / $686.98	Professional		$255.94	$432.67	$686.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $273.14 / $408.18 / $593.72	Professional		$273.14	$408.18	$593.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $216.51 / $359.46 / $572.47	Facility		$216.51	$359.46	$572.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $272.20 / $405.09 / $541.10	Professional		$272.20	$405.09	$541.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $237.03 / $371.74 / $511.21	Facility		$237.03	$371.74	$511.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $205.68 / $367.13 / $650.44	Facility		$205.68	$367.13	$650.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $311.82 / $451.35 / $639.01	Professional		$311.82	$451.35	$639.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,217.60 / $2,786.49	Facility		$1,719.37	$2,217.60	$2,786.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $324.99 / $475.65 / $718.21	Professional		$324.99	$475.65	$718.21
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 $332.71 / $478.63 / $749.36	Professional		$332.71	$478.63	$749.36