Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.33 / $4,684.68 / $8,728.00	Facility		$270.33	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.95 / $178.59 / $496.48	Professional		$111.95	$178.59	$496.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.15 / $312.63 / $526.17	Professional		$192.15	$312.63	$526.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.16 / $295.51 / $454.63	Professional		$199.16	$295.51	$454.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $164.35 / $267.11 / $430.19	Facility		$164.35	$267.11	$430.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $196.94 / $309.56 / $404.01	Professional		$196.94	$309.56	$404.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $215.94 / $344.50 / $389.94	Facility		$215.94	$344.50	$389.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $155.96 / $277.67 / $496.84	Facility		$155.96	$277.67	$496.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $225.43 / $333.04 / $487.43	Professional		$225.43	$333.04	$487.43
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 $234.36 / $374.84 / $548.60	Professional		$234.36	$374.84	$548.60
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 $253.79 / $356.15 / $563.32	Professional		$253.79	$356.15	$563.32