Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.57 / $4,684.68 / $8,728.00	Facility		$156.57	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $142.97 / $434.46	Professional		$72.56	$142.97	$434.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.63 / $190.34 / $436.40	Professional		$123.63	$190.34	$436.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.82 / $198.08 / $394.02	Professional		$134.82	$198.08	$394.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.74 / $199.39 / $330.47	Facility		$92.74	$199.39	$330.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.21 / $206.48 / $479.37	Professional		$114.21	$206.48	$479.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $139.36 / $232.00 / $326.95	Facility		$139.36	$232.00	$326.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.74 / $211.91 / $418.75	Facility		$92.74	$211.91	$418.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.62 / $209.48 / $434.96	Professional		$136.62	$209.48	$434.96
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 $136.60 / $233.23 / $461.43	Professional		$136.60	$233.23	$461.43
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 $202.98 / $290.14 / $518.12	Professional		$202.98	$290.14	$518.12