Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.24 / $4,684.68 / $8,728.00	Facility		$248.24	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.99 / $165.48 / $417.41	Professional		$113.99	$165.48	$417.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.56 / $286.63 / $446.90	Professional		$172.56	$286.63	$446.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.76 / $288.19 / $403.49	Professional		$212.76	$288.19	$403.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $130.32 / $272.55 / $372.32	Facility		$130.32	$272.55	$372.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $182.00 / $265.35 / $461.37	Professional		$182.00	$265.35	$461.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $182.34 / $282.07 / $340.36	Facility		$182.34	$282.07	$340.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.32 / $277.95 / $433.34	Facility		$130.32	$277.95	$433.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $212.94 / $310.95 / $449.45	Professional		$212.94	$310.95	$449.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $763.05 / $997.66 / $1,243.51	Facility		$763.05	$997.66	$1,243.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.82 / $320.26 / $478.49	Professional		$218.82	$320.26	$478.49
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 $233.07 / $370.48 / $532.27	Professional		$233.07	$370.48	$532.27