Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.07 / $4,684.68 / $8,728.00	Facility		$178.07	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.18 / $169.25 / $274.76	Professional		$64.18	$169.25	$274.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.31 / $209.46 / $461.35	Professional		$117.31	$209.46	$461.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.64 / $142.52 / $356.44	Professional		$104.64	$142.52	$356.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.78 / $193.91 / $417.49	Facility		$90.78	$193.91	$417.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.93 / $241.25 / $351.21	Professional		$97.93	$241.25	$351.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $145.38 / $298.52 / $346.80	Facility		$145.38	$298.52	$346.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.93 / $213.29 / $440.21	Facility		$91.93	$213.29	$440.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.19 / $223.96 / $429.64	Professional		$132.19	$223.96	$429.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $492.49 / $584.72 / $749.46	Facility		$492.49	$584.72	$749.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $140.66 / $235.62 / $486.07	Professional		$140.66	$235.62	$486.07
United Facility/Professional Professional Modifier Low / Median / High Price $223.26 / $328.25 / $521.96	Professional		$223.26	$328.25	$521.96