Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.29 / $4,704.00 / $8,728.00	Facility		$255.29	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.89 / $151.44 / $619.76	Professional		$114.89	$151.44	$619.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.26 / $262.47 / $335.33	Professional		$171.26	$262.47	$335.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.76 / $263.41 / $296.57	Professional		$184.76	$263.41	$296.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.44 / $236.19 / $325.62	Facility		$151.44	$236.19	$325.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.28 / $211.20 / $364.97	Professional		$167.28	$211.20	$364.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $224.45 / $229.84	Facility		$164.25	$224.45	$229.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.44 / $279.45 / $1,738.00	Facility		$151.44	$279.45	$1,738.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $206.18 / $269.72 / $337.16	Professional		$206.18	$269.72	$337.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,568.64 / $2,283.92 / $2,887.87	Facility		$1,568.64	$2,283.92	$2,887.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $209.72 / $279.79 / $357.71	Professional		$209.72	$279.79	$357.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.08 / $251.12 / $362.80	Professional		$178.08	$251.12	$362.80