Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.44 / $4,684.68 / $8,728.00	Facility		$311.44	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.64 / $165.56 / $393.39	Professional		$113.64	$165.56	$393.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.32 / $305.47 / $474.41	Professional		$198.32	$305.47	$474.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $226.28 / $325.85 / $411.94	Professional		$226.28	$325.85	$411.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $180.98 / $249.10 / $392.82	Facility		$180.98	$249.10	$392.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $226.83 / $281.81 / $450.90	Professional		$226.83	$281.81	$450.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $212.26 / $308.87 / $359.04	Facility		$212.26	$308.87	$359.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.98 / $269.02 / $616.41	Facility		$180.98	$269.02	$616.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.80 / $327.36 / $448.06	Professional		$247.80	$327.36	$448.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $900.57 / $1,274.82 / $1,579.21	Facility		$900.57	$1,274.82	$1,579.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $272.56 / $349.14 / $504.07	Professional		$272.56	$349.14	$504.07
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 $230.30 / $323.39 / $506.47	Professional		$230.30	$323.39	$506.47