Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.96 / $5,116.62 / $8,311.14	Facility		$428.96	$5,116.62	$8,311.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.67 / $208.40 / $1,024.44	Professional		$200.67	$208.40	$1,024.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.81 / $439.01 / $594.94	Professional		$287.81	$439.01	$594.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $310.04 / $440.80 / $496.30	Professional		$310.04	$440.80	$496.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.40 / $386.40 / $560.91	Facility		$208.40	$386.40	$560.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $312.12 / $369.60 / $639.76	Professional		$312.12	$369.60	$639.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $276.83 / $377.68 / $405.35	Facility		$276.83	$377.68	$405.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.40 / $429.20 / $515.72	Facility		$208.40	$429.20	$515.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $348.24 / $466.33 / $594.94	Professional		$348.24	$466.33	$594.94
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 $369.64 / $496.40 / $634.65	Professional		$369.64	$496.40	$634.65
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 $305.25 / $449.17 / $639.40	Professional		$305.25	$449.17	$639.40