Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.00 / $7,920.26 / $20,400.00	Facility		$299.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.73 / $171.97 / $425.13	Professional		$114.73	$171.97	$425.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.94 / $322.94 / $490.61	Professional		$209.94	$322.94	$490.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.01 / $315.66 / $429.69	Professional		$217.01	$315.66	$429.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $174.19 / $265.30 / $428.42	Facility		$174.19	$265.30	$428.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.82 / $304.26 / $434.99	Professional		$218.82	$304.26	$434.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $219.09 / $323.89 / $371.18	Facility		$219.09	$323.89	$371.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $174.19 / $269.74 / $570.40	Facility		$174.19	$269.74	$570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $248.70 / $345.39 / $466.48	Professional		$248.70	$345.39	$466.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $262.20 / $359.95 / $526.80	Professional		$262.20	$359.95	$526.80
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 $256.14 / $364.09 / $563.32	Professional		$256.14	$364.09	$563.32