Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.58 / $4,684.68 / $8,728.00	Facility		$212.58	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.15 / $166.89 / $515.73	Professional		$106.15	$166.89	$515.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.37 / $241.30 / $339.88	Professional		$149.37	$241.30	$339.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.46 / $236.36 / $297.32	Professional		$181.46	$236.36	$297.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.53 / $234.89 / $297.50	Facility		$126.53	$234.89	$297.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.77 / $209.45 / $368.37	Professional		$154.77	$209.45	$368.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $148.74 / $231.82 / $251.25	Facility		$148.74	$231.82	$251.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.53 / $247.02 / $317.50	Facility		$126.53	$247.02	$317.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.76 / $245.78 / $340.40	Professional		$181.76	$245.78	$340.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $598.00 / $773.56 / $1,044.82	Facility		$598.00	$773.56	$1,044.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $185.16 / $249.11 / $350.58	Professional		$185.16	$249.11	$350.58
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $1,078.00 / $6,216.00	Facility		$376.00	$1,078.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.15 / $266.01 / $393.63	Professional		$188.15	$266.01	$393.63