Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.41 / $4,684.68 / $8,728.00	Facility		$288.41	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.99 / $182.05 / $354.58	Professional		$114.99	$182.05	$354.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.99 / $333.89 / $564.50	Professional		$205.99	$333.89	$564.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.66 / $316.47 / $487.89	Professional		$213.66	$316.47	$487.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $174.16 / $286.52 / $460.42	Facility		$174.16	$286.52	$460.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $211.35 / $332.51 / $433.16	Professional		$211.35	$332.51	$433.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $221.24 / $370.50 / $418.08	Facility		$221.24	$370.50	$418.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.74 / $297.56 / $532.02	Facility		$166.74	$297.56	$532.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $240.67 / $355.12 / $522.60	Professional		$240.67	$355.12	$522.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $900.57 / $1,208.00 / $1,492.71	Facility		$900.57	$1,208.00	$1,492.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $249.90 / $401.39 / $587.45	Professional		$249.90	$401.39	$587.45
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 $263.45 / $379.59 / $603.61	Professional		$263.45	$379.59	$603.61