Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.63 / $4,684.68 / $8,728.00	Facility		$351.63	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.50 / $254.67 / $808.75	Professional		$155.50	$254.67	$808.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.32 / $381.11 / $509.26	Professional		$230.32	$381.11	$509.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $303.89 / $385.25 / $459.65	Professional		$303.89	$385.25	$459.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $215.12 / $335.48 / $462.51	Facility		$215.12	$335.48	$462.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $244.48 / $301.55 / $517.21	Professional		$244.48	$301.55	$517.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $200.60 / $310.42 / $378.55	Facility		$200.60	$310.42	$378.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $215.12 / $369.52 / $1,738.00	Facility		$215.12	$369.52	$1,738.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $286.27 / $395.28 / $509.08	Professional		$286.27	$395.28	$509.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,539.74 / $4,494.80 / $5,709.03	Facility		$3,539.74	$4,494.80	$5,709.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $295.04 / $409.19 / $529.65	Professional		$295.04	$409.19	$529.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $259.48 / $370.50 / $594.72	Professional		$259.48	$370.50	$594.72