Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.58 / $2,747.00 / $7,920.26	Facility		$315.58	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.55 / $210.11 / $405.87	Professional		$137.55	$210.11	$405.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.12 / $324.75 / $464.16	Professional		$214.12	$324.75	$464.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.80 / $347.64 / $395.75	Professional		$245.80	$347.64	$395.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $150.76 / $300.45 / $451.74	Facility		$150.76	$300.45	$451.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $252.45 / $359.55 / $501.84	Professional		$252.45	$359.55	$501.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $193.30 / $285.58 / $316.24	Facility		$193.30	$285.58	$316.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $150.76 / $327.67 / $451.74	Facility		$150.76	$327.67	$451.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $287.98 / $375.24 / $482.56	Professional		$287.98	$375.24	$482.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $284.14 / $387.28 / $495.13	Professional		$284.14	$387.28	$495.13
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 $247.53 / $357.72 / $486.95	Professional		$247.53	$357.72	$486.95