Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.58 / $681.78 / $6,096.00	Facility		$326.58	$681.78	$6,096.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.03 / $303.81 / $890.10	Professional		$168.03	$303.81	$890.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.25 / $491.23 / $827.17	Professional		$298.25	$491.23	$827.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $313.08 / $462.58 / $711.89	Professional		$313.08	$462.58	$711.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $244.81 / $418.42 / $680.87	Facility		$244.81	$418.42	$680.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $306.88 / $485.15 / $640.69	Professional		$306.88	$485.15	$640.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $313.50 / $499.60 / $612.38	Facility		$313.50	$499.60	$612.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $244.59 / $438.59 / $783.45	Facility		$244.59	$438.59	$783.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $349.14 / $521.14 / $766.85	Professional		$349.14	$521.14	$766.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $900.57 / $1,208.00 / $1,492.71	Facility		$900.57	$1,208.00	$1,492.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $365.13 / $561.53 / $865.07	Professional		$365.13	$561.53	$865.07
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 $403.73 / $584.12 / $887.86	Professional		$403.73	$584.12	$887.86