Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $5,116.62 / $8,728.00	Facility		$988.00	$5,116.62	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.91 / $202.94 / $533.92	Professional		$162.91	$202.94	$533.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $349.52 / $407.10 / $488.41	Professional		$349.52	$407.10	$488.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.67 / $214.46 / $409.19	Facility		$169.67	$214.46	$409.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.28 / $510.73 / $532.97	Professional		$109.28	$510.73	$532.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $77.23 / $170.24 / $860.29	Facility		$77.23	$170.24	$860.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.67 / $210.38 / $409.19	Facility		$169.67	$210.38	$409.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.77 / $204.29 / $360.91	Professional		$114.77	$204.29	$360.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,265.38 / $2,911.98 / $3,609.89	Facility		$2,265.38	$2,911.98	$3,609.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $288.08 / $430.44 / $523.48	Professional		$288.08	$430.44	$523.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $259.06 / $348.96 / $561.67	Professional		$259.06	$348.96	$561.67