Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.19 / $4,684.68 / $8,728.00	Facility		$233.19	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.09 / $314.02 / $915.92	Professional		$116.09	$314.02	$915.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.89 / $333.17 / $783.32	Professional		$189.89	$333.17	$783.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.67 / $290.43 / $693.35	Professional		$197.67	$290.43	$693.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.87 / $341.57 / $725.67	Facility		$158.87	$341.57	$725.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.99 / $406.59 / $767.10	Professional		$165.99	$406.59	$767.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $209.04 / $495.13 / $572.85	Facility		$209.04	$495.13	$572.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.87 / $457.80 / $984.27	Facility		$158.87	$457.80	$984.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.15 / $366.26 / $785.15	Professional		$202.15	$366.26	$785.15
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 $201.34 / $358.33 / $814.85	Professional		$201.34	$358.33	$814.85
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $1,458.42 / $6,216.00	Facility		$376.00	$1,458.42	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $419.05 / $557.62 / $914.95	Professional		$419.05	$557.62	$914.95