Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.05 / $4,684.68 / $8,728.00	Facility		$268.05	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.35 / $174.56 / $329.25	Professional		$111.35	$174.56	$329.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.58 / $309.93 / $513.14	Professional		$190.58	$309.93	$513.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.49 / $293.10 / $443.57	Professional		$196.49	$293.10	$443.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $163.57 / $264.77 / $420.38	Facility		$163.57	$264.77	$420.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $195.34 / $302.08 / $394.98	Professional		$195.34	$302.08	$394.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $212.26 / $336.05 / $381.23	Facility		$212.26	$336.05	$381.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.63 / $271.16 / $485.68	Facility		$154.63	$271.16	$485.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $222.64 / $328.52 / $476.54	Professional		$222.64	$328.52	$476.54
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 $232.42 / $348.11 / $536.29	Professional		$232.42	$348.11	$536.29
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 $250.04 / $356.45 / $549.88	Professional		$250.04	$356.45	$549.88