Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.87 / $4,684.68 / $8,728.00	Facility		$225.87	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $133.11 / $316.51	Professional		$90.40	$133.11	$316.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $451.00 / $451.00	Facility		$451.00	$451.00	$451.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.24 / $192.99 / $321.81	Professional		$122.24	$192.99	$321.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.32 / $238.57 / $303.56	Professional		$166.32	$238.57	$303.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.74 / $201.22 / $304.61	Facility		$122.74	$201.22	$304.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.69 / $207.64 / $324.64	Professional		$162.69	$207.64	$324.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $152.24 / $235.15 / $258.62	Facility		$152.24	$235.15	$258.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.76 / $216.62 / $328.65	Facility		$130.76	$216.62	$328.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $174.90 / $233.12 / $312.23	Professional		$174.90	$233.12	$312.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $722.10 / $904.54 / $1,153.73	Facility		$722.10	$904.54	$1,153.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $185.13 / $247.95 / $335.13	Professional		$185.13	$247.95	$335.13
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 $157.52 / $237.66 / $372.75	Professional		$157.52	$237.66	$372.75