Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.95 / $5,649.00 / $15,341.00	Facility		$373.95	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.46 / $179.70 / $453.69	Professional		$124.46	$179.70	$453.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.42 / $320.60 / $509.39	Professional		$217.42	$320.60	$509.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.80 / $334.80 / $393.69	Professional		$270.80	$334.80	$393.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $196.52 / $278.02 / $497.08	Facility		$196.52	$278.02	$497.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $278.07 / $308.14 / $552.78	Professional		$278.07	$308.14	$552.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.22 / $328.81 / $378.08	Facility		$204.22	$328.81	$378.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $198.05 / $411.14 / $2,919.00	Facility		$198.05	$411.14	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $284.77 / $338.29 / $506.91	Professional		$284.77	$338.29	$506.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $492.49 / $584.72 / $749.46	Facility		$492.49	$584.72	$749.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $317.36 / $371.01 / $549.95	Professional		$317.36	$371.01	$549.95
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 $254.01 / $345.45 / $534.58	Professional		$254.01	$345.45	$534.58