Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.77 / $4,962.67 / $15,341.00	Facility		$296.77	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.38 / $412.70 / $1,080.41	Professional		$134.38	$412.70	$1,080.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.50 / $626.49 / $1,718.06	Professional		$212.50	$626.49	$1,718.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.76 / $317.45 / $1,459.13	Professional		$237.76	$317.45	$1,459.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $168.91 / $510.12 / $1,492.88	Facility		$168.91	$510.12	$1,492.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $219.40 / $962.40 / $1,410.82	Professional		$219.40	$962.40	$1,410.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $314.02 / $628.60 / $1,272.33	Facility		$314.02	$628.60	$1,272.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.91 / $780.35 / $1,673.30	Facility		$168.91	$780.35	$1,673.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.19 / $715.88 / $1,620.45	Professional		$250.19	$715.88	$1,620.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,217.60 / $2,786.49	Facility		$1,719.37	$2,217.60	$2,786.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $257.67 / $458.58 / $1,847.63	Professional		$257.67	$458.58	$1,847.63
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 $876.50 / $1,255.52 / $1,811.90	Professional		$876.50	$1,255.52	$1,811.90