Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.91 / $4,684.68 / $8,728.00	Facility		$353.91	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.69 / $303.24 / $666.20	Professional		$243.69	$303.24	$666.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.27 / $516.65 / $796.89	Professional		$300.27	$516.65	$796.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $438.74 / $546.58 / $680.23	Professional		$438.74	$546.58	$680.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $315.47 / $404.77 / $827.00	Facility		$315.47	$404.77	$827.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $431.77 / $471.02 / $858.31	Professional		$431.77	$471.02	$858.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $355.92 / $507.86 / $558.11	Facility		$355.92	$507.86	$558.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $326.95 / $462.54 / $827.00	Facility		$326.95	$462.54	$827.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $437.99 / $545.84 / $796.89	Professional		$437.99	$545.84	$796.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $492.49 / $617.05 / $792.89	Facility		$492.49	$617.05	$792.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $516.58 / $606.34 / $898.47	Professional		$516.58	$606.34	$898.47
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 $340.95 / $477.54 / $888.53	Professional		$340.95	$477.54	$888.53