Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.38 / $4,684.68 / $8,728.00	Facility		$191.38	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.93 / $131.62 / $334.82	Professional		$76.93	$131.62	$334.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.01 / $227.52 / $385.68	Professional		$137.01	$227.52	$385.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.97 / $212.90 / $332.25	Professional		$145.97	$212.90	$332.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.65 / $194.58 / $315.56	Facility		$112.65	$194.58	$315.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $226.30 / $293.74	Professional		$145.72	$226.30	$293.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $157.21 / $260.04 / $284.75	Facility		$157.21	$260.04	$284.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.30 / $199.83 / $360.40	Facility		$111.30	$199.83	$360.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.13 / $238.45 / $356.39	Professional		$158.13	$238.45	$356.39
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 $165.73 / $258.31 / $397.95	Professional		$165.73	$258.31	$397.95
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 $185.33 / $257.31 / $407.23	Professional		$185.33	$257.31	$407.23