Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.54 / $4,704.00 / $8,728.00	Facility		$376.54	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.69 / $237.01 / $932.51	Professional		$144.69	$237.01	$932.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.95 / $386.87 / $503.49	Professional		$225.95	$386.87	$503.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.42 / $383.87 / $432.20	Professional		$269.42	$383.87	$432.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $237.01 / $338.92 / $509.57	Facility		$237.01	$338.92	$509.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $272.73 / $355.42 / $542.15	Professional		$272.73	$355.42	$542.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $211.77 / $328.21 / $347.73	Facility		$211.77	$328.21	$347.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $237.01 / $414.35 / $509.57	Facility		$237.01	$414.35	$509.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $410.40 / $510.28	Professional		$288.00	$410.40	$510.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $315.51 / $420.10 / $537.09	Professional		$315.51	$420.10	$537.09
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 $268.32 / $361.20 / $545.78	Professional		$268.32	$361.20	$545.78