Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.03 / $4,684.68 / $8,728.00	Facility		$245.03	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.62 / $156.72 / $372.56	Professional		$114.62	$156.72	$372.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.08 / $228.10 / $344.16	Professional		$127.08	$228.10	$344.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.75 / $251.01 / $298.95	Professional		$191.75	$251.01	$298.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $135.28 / $218.29 / $306.60	Facility		$135.28	$218.29	$306.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $192.15 / $225.92 / $360.03	Professional		$192.15	$225.92	$360.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $174.44 / $233.58 / $250.92	Facility		$174.44	$233.58	$250.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.79 / $235.98 / $316.64	Facility		$141.79	$235.98	$316.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $195.57 / $262.76 / $336.42	Professional		$195.57	$262.76	$336.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,093.73 / $1,459.75 / $1,719.25	Facility		$1,093.73	$1,459.75	$1,719.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $226.95 / $276.75 / $349.63	Professional		$226.95	$276.75	$349.63
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $5,183.00	Facility		$376.00	$3,290.00	$5,183.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.28 / $246.56 / $392.57	Professional		$169.28	$246.56	$392.57