Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.44 / $4,684.68 / $8,728.00	Facility		$233.44	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.48 / $153.36 / $289.26	Professional		$94.48	$153.36	$289.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.29 / $269.08 / $454.73	Professional		$165.29	$269.08	$454.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.12 / $255.67 / $392.52	Professional		$172.12	$255.67	$392.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.61 / $230.08 / $369.22	Facility		$140.61	$230.08	$369.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $175.42 / $267.38 / $348.38	Professional		$175.42	$267.38	$348.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $181.83 / $295.10 / $336.34	Facility		$181.83	$295.10	$336.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.53 / $238.91 / $429.05	Facility		$134.53	$238.91	$429.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.41 / $285.60 / $420.42	Professional		$192.41	$285.60	$420.42
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 $202.64 / $307.52 / $473.75	Professional		$202.64	$307.52	$473.75
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 $209.78 / $305.18 / $480.63	Professional		$209.78	$305.18	$480.63