Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.08 / $4,684.68 / $8,728.00	Facility		$303.08	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $193.90 / $369.85	Professional		$133.00	$193.90	$369.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.47 / $348.95 / $569.30	Professional		$215.47	$348.95	$569.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.17 / $331.05 / $492.74	Professional		$222.17	$331.05	$492.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $185.46 / $299.70 / $465.05	Facility		$185.46	$299.70	$465.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $220.95 / $335.71 / $439.22	Professional		$220.95	$335.71	$439.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $225.24 / $375.70 / $422.77	Facility		$225.24	$375.70	$422.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $175.36 / $300.88 / $538.03	Facility		$175.36	$300.88	$538.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.74 / $367.52 / $528.46	Professional		$251.74	$367.52	$528.46
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 $262.83 / $385.62 / $594.08	Professional		$262.83	$385.62	$594.08
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 $267.06 / $384.80 / $611.89	Professional		$267.06	$384.80	$611.89