Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.66 / $4,962.67 / $15,341.00	Facility		$339.66	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.10 / $215.94 / $486.60	Professional		$134.10	$215.94	$486.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.19 / $390.08 / $640.12	Professional		$240.19	$390.08	$640.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $248.22 / $369.45 / $554.29	Professional		$248.22	$369.45	$554.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $203.88 / $335.12 / $523.63	Facility		$203.88	$335.12	$523.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $247.10 / $377.87 / $492.18	Professional		$247.10	$377.87	$492.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $265.73 / $429.03 / $475.03	Facility		$265.73	$429.03	$475.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.40 / $338.16 / $606.67	Facility		$195.40	$338.16	$606.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.45 / $410.03 / $593.79	Professional		$281.45	$410.03	$593.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $900.57 / $1,274.82 / $1,579.21	Facility		$900.57	$1,274.82	$1,579.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $294.57 / $457.71 / $669.88	Professional		$294.57	$457.71	$669.88
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 $313.02 / $452.89 / $745.17	Professional		$313.02	$452.89	$745.17