Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.07 / $4,684.68 / $8,728.00	Facility		$196.07	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.20 / $121.28 / $346.11	Professional		$87.20	$121.28	$346.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.83 / $227.53 / $356.11	Professional		$139.83	$227.53	$356.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.46 / $229.54 / $321.52	Professional		$169.46	$229.54	$321.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.35 / $212.52 / $293.32	Facility		$103.35	$212.52	$293.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.63 / $208.62 / $367.08	Professional		$144.63	$208.62	$367.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $142.55 / $223.78 / $269.33	Facility		$142.55	$223.78	$269.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.35 / $220.15 / $341.52	Facility		$103.35	$220.15	$341.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.32 / $244.72 / $356.11	Professional		$168.32	$244.72	$356.11
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 $172.21 / $252.04 / $377.11	Professional		$172.21	$252.04	$377.11
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $1,142.48 / $6,216.00	Facility		$376.00	$1,142.48	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.72 / $252.69 / $423.43	Professional		$187.72	$252.69	$423.43