Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.01 / $4,684.68 / $8,728.00	Facility		$273.01	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.42 / $262.27 / $627.08	Professional		$110.42	$262.27	$627.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.88 / $352.53 / $736.34	Professional		$200.88	$352.53	$736.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.74 / $345.37 / $657.04	Professional		$240.74	$345.37	$657.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $180.80 / $365.01 / $659.03	Facility		$180.80	$365.01	$659.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $198.54 / $382.08 / $799.62	Professional		$198.54	$382.08	$799.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $217.05 / $440.19 / $545.38	Facility		$217.05	$440.19	$545.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.80 / $422.32 / $704.50	Facility		$180.80	$422.32	$704.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $232.53 / $378.00 / $737.67	Professional		$232.53	$378.00	$737.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,245.03 / $1,550.94 / $2,059.69	Facility		$1,245.03	$1,550.94	$2,059.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $238.24 / $424.01 / $777.90	Professional		$238.24	$424.01	$777.90
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 $369.75 / $591.60 / $873.45	Professional		$369.75	$591.60	$873.45