Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.27 / $4,684.68 / $8,728.00	Facility		$320.27	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.73 / $160.05 / $458.14	Professional		$116.73	$160.05	$458.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.04 / $283.57 / $439.57	Professional		$191.04	$283.57	$439.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.76 / $296.24 / $359.81	Professional		$232.76	$296.24	$359.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $171.62 / $227.02 / $434.49	Facility		$171.62	$227.02	$434.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $240.17 / $272.18 / $477.44	Professional		$240.17	$272.18	$477.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.13 / $297.48 / $321.64	Facility		$218.13	$297.48	$321.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $174.89 / $276.08 / $2,522.10	Facility		$174.89	$276.08	$2,522.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $253.61 / $304.64 / $434.35	Professional		$253.61	$304.64	$434.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $273.69 / $337.72 / $500.37	Professional		$273.69	$337.72	$500.37
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 $209.33 / $310.89 / $479.60	Professional		$209.33	$310.89	$479.60