Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.57 / $4,962.67 / $15,341.00	Facility		$199.57	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $146.86 / $454.00	Professional		$92.10	$146.86	$454.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.71 / $232.67 / $338.15	Professional		$138.71	$232.67	$338.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.83 / $234.10 / $305.31	Professional		$172.83	$234.10	$305.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.20 / $200.79 / $282.02	Facility		$105.20	$200.79	$282.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $146.24 / $202.82 / $376.23	Professional		$146.24	$202.82	$376.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $132.66 / $208.71 / $256.61	Facility		$132.66	$208.71	$256.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.20 / $221.13 / $327.79	Facility		$105.20	$221.13	$327.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.73 / $241.16 / $339.98	Professional		$170.73	$241.16	$339.98
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 $175.45 / $247.31 / $361.95	Professional		$175.45	$247.31	$361.95
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 $179.40 / $254.78 / $406.41	Professional		$179.40	$254.78	$406.41