Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.59 / $4,962.67 / $15,341.00	Facility		$338.59	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.15 / $261.89 / $752.13	Professional		$131.15	$261.89	$752.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.79 / $414.40 / $884.22	Professional		$232.79	$414.40	$884.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $298.02 / $422.70 / $784.52	Professional		$298.02	$422.70	$784.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $226.64 / $442.29 / $770.10	Facility		$226.64	$442.29	$770.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $230.40 / $439.06 / $860.49	Professional		$230.40	$439.06	$860.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $250.78 / $516.76 / $649.23	Facility		$250.78	$516.76	$649.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $226.64 / $502.28 / $1,079.90	Facility		$226.64	$502.28	$1,079.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $287.29 / $464.43 / $878.80	Professional		$287.29	$464.43	$878.80
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 $294.57 / $492.80 / $930.45	Professional		$294.57	$492.80	$930.45
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 $442.02 / $680.55 / $1,044.74	Professional		$442.02	$680.55	$1,044.74