Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.03 / $7,920.26 / $20,400.00	Facility		$230.03	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.84 / $150.03 / $570.21	Professional		$90.84	$150.03	$570.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.34 / $276.17 / $491.31	Professional		$167.34	$276.17	$491.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.51 / $249.30 / $402.71	Professional		$175.51	$249.30	$402.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $132.87 / $236.78 / $413.57	Facility		$132.87	$236.78	$413.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $170.26 / $284.07 / $366.81	Professional		$170.26	$284.07	$366.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $186.33 / $307.23 / $351.75	Facility		$186.33	$307.23	$351.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.87 / $253.94 / $545.97	Facility		$132.87	$253.94	$545.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $196.22 / $299.12 / $438.01	Professional		$196.22	$299.12	$438.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $201.99 / $332.53 / $491.75	Professional		$201.99	$332.53	$491.75
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 $233.68 / $347.05 / $537.66	Professional		$233.68	$347.05	$537.66