Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.24 / $4,962.67 / $15,341.00	Facility		$523.24	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.90 / $307.50 / $611.07	Professional		$201.90	$307.50	$611.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.08 / $575.14 / $908.00	Professional		$358.08	$575.14	$908.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.91 / $554.04 / $788.31	Professional		$380.91	$554.04	$788.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.19 / $478.31 / $752.15	Facility		$302.19	$478.31	$752.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $381.61 / $540.13 / $758.60	Professional		$381.61	$540.13	$758.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $410.81 / $660.22 / $1,188.33	Facility		$410.81	$660.22	$1,188.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.19 / $513.53 / $3,005.10	Facility		$302.19	$513.53	$3,005.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $431.52 / $615.73 / $850.06	Professional		$431.52	$615.73	$850.06
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 $457.06 / $654.52 / $957.92	Professional		$457.06	$654.52	$957.92
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 $453.54 / $617.59 / $997.41	Professional		$453.54	$617.59	$997.41