Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.84 / $4,684.68 / $8,728.00	Facility		$156.84	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.07 / $88.37 / $224.22	Professional		$58.07	$88.37	$224.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.43 / $164.73 / $267.49	Professional		$104.43	$164.73	$267.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.91 / $167.14 / $234.98	Professional		$114.91	$167.14	$234.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.93 / $142.16 / $222.53	Facility		$90.93	$142.16	$222.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.21 / $156.02 / $227.04	Professional		$114.21	$156.02	$227.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $110.24 / $174.87 / $201.67	Facility		$110.24	$174.87	$201.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.59 / $142.16 / $257.43	Facility		$89.59	$142.16	$257.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.72 / $177.66 / $252.09	Professional		$127.72	$177.66	$252.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $492.49 / $584.72 / $749.46	Facility		$492.49	$584.72	$749.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $133.96 / $194.22 / $284.25	Professional		$133.96	$194.22	$284.25
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 $128.79 / $180.85 / $283.22	Professional		$128.79	$180.85	$283.22