Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $7,943.28 / $7,943.28	Facility		$302.00	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $302.00	Professional		$173.78	$213.80	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $812.83	Professional		$537.03	$676.08	$812.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $302.00 / $575.44	Facility		$204.17	$302.00	$575.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $263.03 / $4,897.79	Professional		$186.21	$263.03	$4,897.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,511.89 / $4,265.80	Facility		$389.05	$2,511.89	$4,265.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $302.00 / $630.96	Facility		$190.55	$302.00	$630.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $467.74	Professional		$79.43	$79.43	$467.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $14,454.40 / $17,378.01	Facility		$10,715.19	$14,454.40	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $537.03 / $794.33	Professional		$416.87	$537.03	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $16,218.10 / $23,988.33	Facility		$2,884.03	$16,218.10	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $794.33	Professional		$380.19	$562.34	$794.33