Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.90 / $4,283.46 / $8,728.00	Facility		$448.90	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.96 / $253.71 / $564.72	Professional		$186.96	$253.71	$564.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.60 / $490.70 / $765.10	Professional		$328.60	$490.70	$765.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $367.05 / $528.08 / $666.41	Professional		$367.05	$528.08	$666.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $289.99 / $406.75 / $673.96	Facility		$289.99	$406.75	$673.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $367.74 / $460.96 / $731.01	Professional		$367.74	$460.96	$731.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $387.60 / $572.17 / $1,267.71	Facility		$387.60	$572.17	$1,267.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $289.99 / $449.55 / $2,522.10	Facility		$289.99	$449.55	$2,522.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $408.01 / $532.89 / $722.48	Professional		$408.01	$532.89	$722.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $4,855.54 / $6,069.32	Facility		$3,868.81	$4,855.54	$6,069.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $413.30 / $568.01 / $804.43	Professional		$413.30	$568.01	$804.43
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 $372.41 / $525.84 / $836.17	Professional		$372.41	$525.84	$836.17