Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.68 / $4,962.67 / $15,341.00	Facility		$405.68	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.02 / $244.83 / $815.41	Professional		$164.02	$244.83	$815.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.92 / $457.94 / $714.48	Professional		$280.92	$457.94	$714.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.72 / $430.14 / $619.47	Professional		$295.72	$430.14	$619.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $246.36 / $378.58 / $616.28	Facility		$246.36	$378.58	$616.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $305.18 / $424.30 / $588.83	Professional		$305.18	$424.30	$588.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $355.77 / $618.96 / $1,267.71	Facility		$355.77	$618.96	$1,267.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $250.47 / $406.81 / $3,005.10	Facility		$250.47	$406.81	$3,005.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $337.88 / $484.57 / $667.49	Professional		$337.88	$484.57	$667.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $5,124.10 / $6,421.06	Facility		$3,868.81	$5,124.10	$6,421.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $354.13 / $513.39 / $751.37	Professional		$354.13	$513.39	$751.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $325.63 / $488.89 / $794.64	Professional		$325.63	$488.89	$794.64