Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $9,549.93 / $17,378.01	Facility		$223.87	$9,549.93	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $234.42	Professional		$128.82	$190.55	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $398.11	Professional		$331.13	$331.13	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $501.19 / $3,630.78	Professional		$239.88	$501.19	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $281.84 / $13,182.57	Facility		$204.17	$281.84	$13,182.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $407.38 / $4,168.69	Professional		$208.93	$407.38	$4,168.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $831.76 / $1,513.56	Facility		$123.03	$831.76	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $239.88 / $3,090.30	Facility		$165.96	$239.88	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $239.88 / $398.11	Professional		$79.43	$239.88	$398.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $4,466.84 / $5,754.40	Facility		$371.54	$4,466.84	$5,754.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $549.54	Professional		$331.13	$407.38	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $524.81	Professional		$251.19	$371.54	$524.81