Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.53 / $2,747.00 / $7,920.26	Facility		$331.53	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.08 / $278.89 / $741.00	Professional		$124.08	$278.89	$741.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.72 / $416.10 / $689.40	Professional		$222.72	$416.10	$689.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $326.45 / $442.20 / $622.45	Professional		$326.45	$442.20	$622.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $187.28 / $321.29 / $515.55	Facility		$187.28	$321.29	$515.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $233.74 / $383.31 / $784.89	Professional		$233.74	$383.31	$784.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $224.81 / $361.76 / $535.33	Facility		$224.81	$361.76	$535.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $187.28 / $332.35 / $684.76	Facility		$187.28	$332.35	$684.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $286.85 / $462.38 / $696.08	Professional		$286.85	$462.38	$696.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $348.30 / $509.76 / $756.11	Professional		$348.30	$509.76	$756.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $8,571.00 / $36,803.00	Facility		$2,364.00	$8,571.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $309.91 / $401.29 / $848.99	Professional		$309.91	$401.29	$848.99