Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.53 / $2,747.00 / $7,920.26	Facility		$357.53	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.64 / $237.32 / $939.38	Professional		$184.64	$237.32	$939.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.42 / $367.99 / $527.09	Professional		$244.42	$367.99	$527.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $280.27 / $395.63 / $450.37	Professional		$280.27	$395.63	$450.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $171.57 / $339.37 / $510.24	Facility		$171.57	$339.37	$510.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $288.20 / $410.47 / $572.91	Professional		$288.20	$410.47	$572.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $238.99 / $341.41 / $365.49	Facility		$238.99	$341.41	$365.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $171.57 / $370.10 / $510.24	Facility		$171.57	$370.10	$510.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $314.17 / $426.12 / $553.11	Professional		$314.17	$426.12	$553.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $947.63 / $947.63 / $947.63	Facility		$947.63	$947.63	$947.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $330.27 / $434.49 / $572.33	Professional		$330.27	$434.49	$572.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $278.72 / $407.34 / $571.29	Professional		$278.72	$407.34	$571.29