Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.58 / $4,962.67 / $15,341.00	Facility		$294.58	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.25 / $310.05 / $731.85	Professional		$159.25	$310.05	$731.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.34 / $392.37 / $756.21	Professional		$227.34	$392.37	$756.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.20 / $370.65 / $661.88	Professional		$254.20	$370.65	$661.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $195.85 / $421.08 / $675.69	Facility		$195.85	$421.08	$675.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $221.56 / $417.91 / $739.65	Professional		$221.56	$417.91	$739.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $259.29 / $463.64 / $551.41	Facility		$259.29	$463.64	$551.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.85 / $435.21 / $935.70	Facility		$195.85	$435.21	$935.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $414.00 / $768.20	Professional		$257.36	$414.00	$768.20
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 $258.31 / $459.73 / $791.16	Professional		$258.31	$459.73	$791.16
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 $412.36 / $555.10 / $888.36	Professional		$412.36	$555.10	$888.36