Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.64 / $4,704.00 / $8,728.00	Facility		$343.64	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.55 / $228.66 / $808.20	Professional		$142.55	$228.66	$808.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.54 / $354.67 / $460.22	Professional		$223.54	$354.67	$460.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $250.03 / $358.25 / $403.36	Professional		$250.03	$358.25	$403.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $228.66 / $329.88 / $491.62	Facility		$228.66	$329.88	$491.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $239.70 / $276.48 / $499.71	Professional		$239.70	$276.48	$499.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.51 / $297.37 / $313.56	Facility		$218.51	$297.37	$313.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $228.66 / $365.36 / $491.62	Facility		$228.66	$365.36	$491.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $270.47 / $361.37 / $460.22	Professional		$270.47	$361.37	$460.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,028.80 / $1,288.73 / $1,617.16	Facility		$1,028.80	$1,288.73	$1,617.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $285.37 / $383.99 / $490.93	Professional		$285.37	$383.99	$490.93
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 $235.32 / $345.04 / $493.66	Professional		$235.32	$345.04	$493.66