Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.81 / $4,962.67 / $15,341.00	Facility		$297.81	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.71 / $189.42 / $594.42	Professional		$115.71	$189.42	$594.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.45 / $343.27 / $547.08	Professional		$207.45	$343.27	$547.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.04 / $316.93 / $475.40	Professional		$214.04	$316.93	$475.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $176.97 / $289.45 / $483.37	Facility		$176.97	$289.45	$483.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $215.09 / $332.01 / $434.93	Professional		$215.09	$332.01	$434.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $230.85 / $370.85 / $412.05	Facility		$230.85	$370.85	$412.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $184.25 / $298.38 / $641.52	Facility		$184.25	$298.38	$641.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $252.37 / $369.43 / $514.25	Professional		$252.37	$369.43	$514.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $260.25 / $398.80 / $583.66	Professional		$260.25	$398.80	$583.66
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 $266.49 / $391.01 / $649.28	Professional		$266.49	$391.01	$649.28