Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.12 / $4,704.00 / $8,728.00	Facility		$258.12	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.78 / $159.13 / $636.94	Professional		$118.78	$159.13	$636.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.12 / $264.92 / $347.97	Professional		$178.12	$264.92	$347.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.79 / $261.58 / $294.52	Professional		$183.79	$261.58	$294.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $159.13 / $256.47 / $368.39	Facility		$159.13	$256.47	$368.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $184.67 / $235.52 / $367.10	Professional		$184.67	$235.52	$367.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $223.88 / $238.52	Facility		$170.54	$223.88	$238.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $159.13 / $290.50 / $1,738.00	Facility		$159.13	$290.50	$1,738.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $211.02 / $276.18 / $346.64	Professional		$211.02	$276.18	$346.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $737.82 / $929.08 / $1,173.02	Facility		$737.82	$929.08	$1,173.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $215.88 / $286.35 / $366.10	Professional		$215.88	$286.35	$366.10
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 $185.12 / $262.91 / $373.42	Professional		$185.12	$262.91	$373.42