Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.28 / $4,684.68 / $8,728.00	Facility		$211.28	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.68 / $139.86 / $304.97	Professional		$91.68	$139.86	$304.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.38 / $242.70 / $409.85	Professional		$150.38	$242.70	$409.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.38 / $233.87 / $353.67	Professional		$156.38	$233.87	$353.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $124.67 / $207.80 / $337.10	Facility		$124.67	$207.80	$337.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $155.84 / $241.25 / $312.17	Professional		$155.84	$241.25	$312.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.99 / $278.38 / $302.83	Facility		$165.99	$278.38	$302.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.77 / $215.28 / $386.15	Facility		$121.77	$215.28	$386.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.58 / $260.30 / $378.55	Professional		$173.58	$260.30	$378.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $492.49 / $617.05 / $792.89	Facility		$492.49	$617.05	$792.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $183.86 / $276.76 / $426.38	Professional		$183.86	$276.76	$426.38
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 $198.34 / $278.52 / $474.29	Professional		$198.34	$278.52	$474.29