Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.72 / $4,962.67 / $15,341.00	Facility		$512.72	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.68 / $301.75 / $797.99	Professional		$198.68	$301.75	$797.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.57 / $590.04 / $957.32	Professional		$361.57	$590.04	$957.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $370.76 / $554.55 / $826.40	Professional		$370.76	$554.55	$826.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.68 / $505.95 / $781.85	Facility		$302.68	$505.95	$781.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $369.86 / $564.14 / $739.99	Professional		$369.86	$564.14	$739.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $387.60 / $606.48 / $714.22	Facility		$387.60	$606.48	$714.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.68 / $521.16 / $1,228.21	Facility		$302.68	$521.16	$1,228.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $430.86 / $621.21 / $892.78	Professional		$430.86	$621.21	$892.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,400.90 / $1,985.16 / $2,351.11	Facility		$1,400.90	$1,985.16	$2,351.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $446.06 / $658.08 / $1,013.83	Professional		$446.06	$658.08	$1,013.83
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $371.50 / $669.24 / $1,048.07	Professional		$371.50	$669.24	$1,048.07