Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.66 / $3,213.00 / $7,920.26	Facility		$282.66	$3,213.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.90 / $229.81 / $747.00	Professional		$166.90	$229.81	$747.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.87 / $389.30 / $504.47	Professional		$249.87	$389.30	$504.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $273.57 / $388.83 / $437.78	Professional		$273.57	$388.83	$437.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.81 / $378.72 / $530.37	Facility		$229.81	$378.72	$530.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $275.93 / $356.12 / $548.51	Professional		$275.93	$356.12	$548.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.64 / $333.26 / $354.71	Facility		$245.64	$333.26	$354.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.81 / $407.92 / $494.09	Facility		$229.81	$407.92	$494.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $306.73 / $405.38 / $506.73	Professional		$306.73	$405.38	$506.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $316.12 / $420.92 / $538.14	Professional		$316.12	$420.92	$538.14
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 $265.52 / $413.34 / $546.84	Professional		$265.52	$413.34	$546.84