Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.24 / $5,116.62 / $20,400.00	Facility		$397.24	$5,116.62	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.74 / $232.61 / $964.58	Professional		$167.74	$232.61	$964.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $379.55 / $541.84	Professional		$260.20	$379.55	$541.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $287.31 / $406.33 / $462.55	Professional		$287.31	$406.33	$462.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $232.61 / $347.36 / $500.11	Facility		$232.61	$347.36	$500.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.14 / $343.71 / $586.73	Professional		$295.14	$343.71	$586.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $258.23 / $343.04 / $369.17	Facility		$258.23	$343.04	$369.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $232.61 / $362.76 / $471.10	Facility		$232.61	$362.76	$471.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.82 / $427.74 / $554.61	Professional		$323.82	$427.74	$554.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $960.02 / $960.02 / $960.02	Facility		$960.02	$960.02	$960.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $347.61 / $444.20 / $585.12	Professional		$347.61	$444.20	$585.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $285.48 / $384.30 / $578.64	Professional		$285.48	$384.30	$578.64