Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.42 / $4,962.67 / $15,341.00	Facility		$401.42	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.34 / $251.56 / $486.22	Professional		$149.34	$251.56	$486.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.36 / $457.01 / $726.95	Professional		$274.36	$457.01	$726.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $292.97 / $432.35 / $628.87	Professional		$292.97	$432.35	$628.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $244.84 / $384.91 / $605.14	Facility		$244.84	$384.91	$605.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $301.33 / $429.64 / $581.41	Professional		$301.33	$429.64	$581.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $246.71 / $397.80 / $541.28	Facility		$246.71	$397.80	$541.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $232.69 / $388.17 / $689.05	Facility		$232.69	$388.17	$689.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $334.62 / $483.00 / $676.70	Professional		$334.62	$483.00	$676.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,217.60 / $2,633.84	Facility		$1,719.37	$2,217.60	$2,633.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $348.95 / $510.70 / $760.84	Professional		$348.95	$510.70	$760.84
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 $352.34 / $507.54 / $794.84	Professional		$352.34	$507.54	$794.84