Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.23 / $4,684.68 / $8,728.00	Facility		$239.23	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.43 / $152.53 / $535.09	Professional		$92.43	$152.53	$535.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.44 / $289.95 / $517.61	Professional		$173.44	$289.95	$517.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.97 / $272.30 / $467.91	Professional		$202.97	$272.30	$467.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.75 / $260.12 / $409.19	Facility		$140.75	$260.12	$409.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $183.60 / $280.14 / $411.52	Professional		$183.60	$280.14	$411.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $191.40 / $322.94 / $394.40	Facility		$191.40	$322.94	$394.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.75 / $273.07 / $495.12	Facility		$140.75	$273.07	$495.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.67 / $304.56 / $501.32	Professional		$203.67	$304.56	$501.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,400.90 / $1,985.16 / $2,351.11	Facility		$1,400.90	$1,985.16	$2,351.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $209.76 / $354.87 / $546.71	Professional		$209.76	$354.87	$546.71
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 $249.70 / $346.45 / $638.45	Professional		$249.70	$346.45	$638.45