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 $231.50 / $249.35 / $290.72	Professional		$231.50	$249.35	$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 $463.70 / $540.13 / $647.91	Professional		$463.70	$540.13	$647.91
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 $414.89 / $10,236.92 / $17,769.88	Facility		$414.89	$10,236.92	$17,769.88
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 / $518.62	Professional		$342.47	$342.47	$518.62
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 $409.37 / $590.05 / $793.04	Professional		$409.37	$590.05	$793.04
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 $378.00 / $521.65 / $804.32	Professional		$378.00	$521.65	$804.32