Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.23 / $4,684.68 / $8,728.00	Facility		$267.23	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $212.33 / $548.12	Professional		$127.50	$212.33	$548.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.43 / $343.06 / $552.74	Professional		$208.43	$343.06	$552.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.97 / $326.67 / $496.69	Professional		$234.97	$326.67	$496.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $172.84 / $304.61 / $501.12	Facility		$172.84	$304.61	$501.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $195.87 / $323.95 / $599.22	Professional		$195.87	$323.95	$599.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $226.23 / $361.80 / $408.70	Facility		$226.23	$361.80	$408.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.84 / $371.61 / $1,738.00	Facility		$172.84	$371.61	$1,738.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $356.97 / $552.09	Professional		$231.00	$356.97	$552.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $4,855.54 / $6,069.32	Facility		$3,868.81	$4,855.54	$6,069.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $231.77 / $372.70 / $574.19	Professional		$231.77	$372.70	$574.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $306.18 / $470.30 / $672.67	Professional		$306.18	$470.30	$672.67