Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.31 / $4,684.68 / $8,728.00	Facility		$302.31	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.51 / $191.19 / $515.00	Professional		$125.51	$191.19	$515.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.41 / $343.51 / $559.02	Professional		$214.41	$343.51	$559.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.08 / $329.40 / $484.06	Professional		$221.08	$329.40	$484.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $184.55 / $295.36 / $457.52	Facility		$184.55	$295.36	$457.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $219.90 / $329.84 / $437.13	Professional		$219.90	$329.84	$437.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $232.00 / $369.20 / $415.40	Facility		$232.00	$369.20	$415.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $174.46 / $295.36 / $529.45	Facility		$174.46	$295.36	$529.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.47 / $365.40 / $519.25	Professional		$250.47	$365.40	$519.25
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 $262.20 / $383.74 / $584.61	Professional		$262.20	$383.74	$584.61
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 $262.55 / $381.32 / $601.54	Professional		$262.55	$381.32	$601.54