Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.21 / $4,684.68 / $8,728.00	Facility		$371.21	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.03 / $233.25 / $531.37	Professional		$144.03	$233.25	$531.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.39 / $411.89 / $664.47	Professional		$263.39	$411.89	$664.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.70 / $396.43 / $576.63	Professional		$271.70	$396.43	$576.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $226.35 / $350.69 / $545.00	Facility		$226.35	$350.69	$545.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $270.60 / $393.34 / $537.91	Professional		$270.60	$393.34	$537.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $265.70 / $443.95 / $493.79	Facility		$265.70	$443.95	$493.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.28 / $351.29 / $629.85	Facility		$213.28	$351.29	$629.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $307.39 / $442.33 / $617.24	Professional		$307.39	$442.33	$617.24
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 $321.76 / $470.91 / $695.47	Professional		$321.76	$470.91	$695.47
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 $321.38 / $456.78 / $720.41	Professional		$321.38	$456.78	$720.41