Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.18 / $4,283.46 / $8,728.00	Facility		$274.18	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.51 / $154.43 / $337.49	Professional		$113.51	$154.43	$337.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.69 / $297.70 / $447.36	Professional		$193.69	$297.70	$447.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.68 / $289.00 / $390.47	Professional		$198.68	$289.00	$390.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.96 / $242.96 / $394.27	Facility		$158.96	$242.96	$394.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.07 / $273.24 / $395.73	Professional		$199.07	$273.24	$395.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.38 / $290.13 / $338.64	Facility		$204.38	$290.13	$338.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.96 / $249.32 / $522.36	Facility		$158.96	$249.32	$522.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $227.24 / $314.99 / $422.10	Professional		$227.24	$314.99	$422.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $238.89 / $325.64 / $476.59	Professional		$238.89	$325.64	$476.59
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 $234.06 / $329.63 / $514.74	Professional		$234.06	$329.63	$514.74