Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.09 / $4,684.68 / $8,728.00	Facility		$167.09	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.50 / $152.59 / $397.19	Professional		$83.50	$152.59	$397.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.55 / $213.35 / $400.24	Professional		$132.55	$213.35	$400.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.04 / $210.15 / $361.37	Professional		$143.04	$210.15	$361.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.70 / $200.77 / $336.62	Facility		$98.70	$200.77	$336.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.16 / $218.61 / $405.54	Professional		$121.16	$218.61	$405.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $146.06 / $243.44 / $300.83	Facility		$146.06	$243.44	$300.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.70 / $212.21 / $384.43	Facility		$98.70	$212.21	$384.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.69 / $230.16 / $403.15	Professional		$145.69	$230.16	$403.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $389.95 / $496.95 / $618.64	Facility		$389.95	$496.95	$618.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $145.66 / $239.81 / $424.48	Professional		$145.66	$239.81	$424.48
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 $206.97 / $279.69 / $476.61	Professional		$206.97	$279.69	$476.61