Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.34 / $4,684.68 / $8,728.00	Facility		$185.34	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $115.98 / $278.94	Professional		$84.85	$115.98	$278.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.88 / $213.26 / $335.32	Professional		$131.88	$213.26	$335.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.47 / $214.66 / $302.76	Professional		$158.47	$214.66	$302.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.16 / $202.17 / $277.93	Facility		$97.16	$202.17	$277.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $135.04 / $201.22 / $345.12	Professional		$135.04	$201.22	$345.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $137.88 / $213.18 / $253.93	Facility		$137.88	$213.18	$253.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.16 / $208.25 / $323.50	Facility		$97.16	$208.25	$323.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.32 / $231.84 / $335.53	Professional		$159.32	$231.84	$335.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $468.03 / $608.69 / $745.96	Facility		$468.03	$608.69	$745.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $163.13 / $238.77 / $357.21	Professional		$163.13	$238.77	$357.21
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.36 / $242.44 / $401.07	Professional		$178.36	$242.44	$401.07