Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.92 / $4,684.68 / $8,728.00	Facility		$261.92	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.09 / $165.18 / $319.64	Professional		$106.09	$165.18	$319.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.37 / $299.86 / $489.96	Professional		$186.37	$299.86	$489.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.10 / $286.63 / $423.79	Professional		$192.10	$286.63	$423.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $159.69 / $257.88 / $400.31	Facility		$159.69	$257.88	$400.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $191.07 / $288.73 / $379.82	Professional		$191.07	$288.73	$379.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $203.01 / $328.16 / $363.81	Facility		$203.01	$328.16	$363.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $150.77 / $257.88 / $463.37	Facility		$150.77	$257.88	$463.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.95 / $317.93 / $454.76	Professional		$216.95	$317.93	$454.76
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 $227.24 / $332.57 / $511.65	Professional		$227.24	$332.57	$511.65
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 $237.81 / $331.67 / $522.99	Professional		$237.81	$331.67	$522.99