Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.80 / $2,747.00 / $7,920.26	Facility		$325.80	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.83 / $196.84 / $424.42	Professional		$144.83	$196.84	$424.42
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 $194.54 / $309.14 / $508.06	Professional		$194.54	$309.14	$508.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.03 / $378.52 / $477.48	Professional		$208.03	$378.52	$477.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $193.06 / $324.30 / $483.89	Facility		$193.06	$324.30	$483.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $258.85 / $324.51 / $514.57	Professional		$258.85	$324.51	$514.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $247.23 / $378.78 / $408.70	Facility		$247.23	$378.78	$408.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $207.67 / $351.01 / $517.42	Facility		$207.67	$351.01	$517.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $278.36 / $371.80 / $491.23	Professional		$278.36	$371.80	$491.23
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 $296.45 / $390.38 / $530.64	Professional		$296.45	$390.38	$530.64
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 $266.00 / $376.67 / $531.79	Professional		$266.00	$376.67	$531.79