Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.01 / $4,704.00 / $8,728.00	Facility		$287.01	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.66 / $154.76 / $344.99	Professional		$122.66	$154.76	$344.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.13 / $147.13 / $147.13	Facility		$147.13	$147.13	$147.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.03 / $247.39 / $373.24	Professional		$157.03	$247.39	$373.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $243.39 / $291.08 / $327.73	Professional		$243.39	$291.08	$327.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.79 / $231.88 / $347.49	Facility		$128.79	$231.88	$347.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.94 / $258.29 / $389.37	Professional		$208.94	$258.29	$389.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $189.92 / $250.87 / $262.64	Facility		$189.92	$250.87	$262.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.81 / $254.55 / $330.96	Facility		$128.81	$254.55	$330.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.83 / $287.23 / $373.83	Professional		$217.83	$287.23	$373.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $235.55 / $278.89 / $362.89	Professional		$235.55	$278.89	$362.89
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 $138.94 / $266.69 / $407.48	Professional		$138.94	$266.69	$407.48