Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.63 / $4,684.68 / $8,728.00	Facility		$244.63	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.26 / $176.14 / $677.00	Professional		$101.26	$176.14	$677.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.59 / $287.74 / $486.09	Professional		$173.59	$287.74	$486.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.99 / $267.81 / $419.43	Professional		$183.99	$267.81	$419.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.65 / $246.00 / $397.80	Facility		$147.65	$246.00	$397.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $178.27 / $285.52 / $373.46	Professional		$178.27	$285.52	$373.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $190.95 / $315.25 / $360.46	Facility		$190.95	$315.25	$360.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.72 / $253.52 / $459.94	Facility		$140.72	$253.52	$459.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.20 / $302.10 / $450.58	Professional		$203.20	$302.10	$450.58
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 $212.35 / $329.66 / $507.86	Professional		$212.35	$329.66	$507.86
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $234.61 / $339.02 / $517.84	Professional		$234.61	$339.02	$517.84