Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.80 / $4,962.67 / $15,341.00	Facility		$500.80	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.63 / $293.55 / $621.34	Professional		$192.63	$293.55	$621.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.15 / $545.12 / $850.68	Professional		$343.15	$545.12	$850.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $365.59 / $531.77 / $739.22	Professional		$365.59	$531.77	$739.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $294.02 / $451.54 / $712.06	Facility		$294.02	$451.54	$712.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $366.14 / $506.50 / $727.83	Professional		$366.14	$506.50	$727.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $290.08 / $521.37 / $635.16	Facility		$290.08	$521.37	$635.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $290.13 / $453.47 / $810.05	Facility		$290.13	$453.47	$810.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $413.44 / $581.76 / $793.95	Professional		$413.44	$581.76	$793.95
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 $431.97 / $611.15 / $894.44	Professional		$431.97	$611.15	$894.44
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 $425.82 / $588.90 / $936.44	Professional		$425.82	$588.90	$936.44