Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.39 / $4,684.68 / $8,728.00	Facility		$386.39	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.58 / $338.25 / $709.84	Professional		$170.58	$338.25	$709.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.01 / $511.09 / $1,079.42	Professional		$284.01	$511.09	$1,079.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $311.66 / $412.56 / $927.56	Professional		$311.66	$412.56	$927.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $231.13 / $496.13 / $874.80	Facility		$231.13	$496.13	$874.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $280.50 / $552.84 / $822.32	Professional		$280.50	$552.84	$822.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $361.80 / $687.75 / $796.63	Facility		$361.80	$687.75	$796.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.13 / $514.63 / $1,014.27	Facility		$239.13	$514.63	$1,014.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.20 / $525.03 / $1,000.99	Professional		$323.20	$525.03	$1,000.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $334.71 / $551.02 / $1,119.95	Professional		$334.71	$551.02	$1,119.95
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 $507.60 / $695.10 / $1,116.29	Professional		$507.60	$695.10	$1,116.29