Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.56 / $4,684.68 / $8,728.00	Facility		$376.56	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.53 / $228.65 / $440.52	Professional		$152.53	$228.65	$440.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.02 / $414.60 / $659.38	Professional		$267.02	$414.60	$659.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.52 / $400.76 / $572.72	Professional		$275.52	$400.76	$572.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.53 / $347.90 / $542.77	Facility		$229.53	$347.90	$542.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $274.33 / $390.69 / $545.33	Professional		$274.33	$390.69	$545.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $279.39 / $450.64 / $491.11	Facility		$279.39	$450.64	$491.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.14 / $348.93 / $624.70	Facility		$217.14	$348.93	$624.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $311.82 / $444.54 / $613.89	Professional		$311.82	$444.54	$613.89
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 $326.29 / $471.31 / $689.78	Professional		$326.29	$471.31	$689.78
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 $319.64 / $464.98 / $717.31	Professional		$319.64	$464.98	$717.31