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 $241.12 / $252.75 / $290.72	Professional		$241.12	$252.75	$290.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.93 / $545.04 / $652.99	Professional		$467.93	$545.04	$652.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $290.72 / $305.26 / $625.04	Facility		$290.72	$305.26	$625.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $418.73 / $10,481.83 / $17,503.53	Facility		$418.73	$10,481.83	$17,503.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $290.72 / $305.26 / $625.04	Facility		$290.72	$305.26	$625.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $342.47 / $342.47 / $522.73	Professional		$342.47	$342.47	$522.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34,710.37 / $44,586.59 / $52,124.27	Facility		$34,710.37	$44,586.59	$52,124.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $454.86 / $621.94 / $800.39	Professional		$454.86	$621.94	$800.39
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $370.44 / $529.20 / $893.67	Professional		$370.44	$529.20	$893.67