Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.61 / $4,684.68 / $8,728.00	Facility		$191.61	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $402.63 / $1,549.03	Professional		$82.67	$402.63	$1,549.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $280.02 / $678.38	Professional		$137.72	$280.02	$678.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.77 / $239.14 / $600.15	Professional		$162.77	$239.14	$600.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.70 / $250.91 / $686.80	Facility		$116.70	$250.91	$686.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.88 / $391.22 / $777.69	Professional		$140.88	$391.22	$777.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $167.77 / $447.45 / $551.41	Facility		$167.77	$447.45	$551.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.70 / $402.63 / $686.80	Facility		$116.70	$402.63	$686.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.34 / $341.56 / $772.60	Professional		$166.34	$341.56	$772.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $170.27 / $303.02 / $730.52	Professional		$170.27	$303.02	$730.52
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 $427.96 / $576.11 / $820.27	Professional		$427.96	$576.11	$820.27