Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.72 / $4,684.68 / $8,728.00	Facility		$233.72	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.85 / $119.26 / $332.25	Professional		$86.85	$119.26	$332.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.61 / $212.40 / $325.22	Professional		$142.61	$212.40	$325.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.71 / $219.26 / $268.04	Professional		$168.71	$219.26	$268.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $124.37 / $168.67 / $298.97	Facility		$124.37	$168.67	$298.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $179.01 / $203.58 / $345.88	Professional		$179.01	$203.58	$345.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $167.64 / $216.32 / $238.00	Facility		$167.64	$216.32	$238.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.49 / $200.90 / $2,522.10	Facility		$130.49	$200.90	$2,522.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.30 / $225.92 / $318.50	Professional		$186.30	$225.92	$318.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $199.88 / $251.16 / $371.35	Professional		$199.88	$251.16	$371.35
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 $154.37 / $229.02 / $358.66	Professional		$154.37	$229.02	$358.66