Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.69 / $4,684.68 / $8,728.00	Facility		$365.69	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.04 / $292.24 / $868.88	Professional		$146.04	$292.24	$868.88
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 $196.90 / $358.81 / $658.11	Professional		$196.90	$358.81	$658.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $264.64 / $386.86 / $601.41	Professional		$264.64	$386.86	$601.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $203.35 / $354.63 / $571.58	Facility		$203.35	$354.63	$571.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $264.18 / $386.28 / $569.14	Professional		$264.18	$386.28	$569.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $289.04 / $445.74 / $523.27	Facility		$289.04	$445.74	$523.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $216.05 / $400.14 / $672.75	Facility		$216.05	$400.14	$672.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $294.31 / $415.36 / $616.79	Professional		$294.31	$415.36	$616.79
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 $300.13 / $462.38 / $686.00	Professional		$300.13	$462.38	$686.00
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 $300.14 / $459.54 / $680.89	Professional		$300.14	$459.54	$680.89