Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.48 / $4,684.68 / $8,728.00	Facility		$221.48	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.26 / $178.00 / $585.00	Professional		$103.26	$178.00	$585.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.55 / $255.33 / $404.38	Professional		$157.55	$255.33	$404.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.05 / $254.72 / $365.11	Professional		$188.05	$254.72	$365.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.69 / $244.85 / $337.95	Facility		$116.69	$244.85	$337.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $160.63 / $238.95 / $416.52	Professional		$160.63	$238.95	$416.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $168.15 / $255.94 / $308.87	Facility		$168.15	$255.94	$308.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.69 / $250.29 / $393.01	Facility		$116.69	$250.29	$393.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.33 / $277.94 / $407.62	Professional		$191.33	$277.94	$407.62
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 $194.87 / $285.20 / $433.96	Professional		$194.87	$285.20	$433.96
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 $225.18 / $355.25 / $482.72	Professional		$225.18	$355.25	$482.72