Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $599.16 / $5,116.62 / $20,400.00	Facility		$599.16	$5,116.62	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.61 / $375.71 / $876.46	Professional		$240.61	$375.71	$876.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $429.86 / $707.98 / $1,181.48	Professional		$429.86	$707.98	$1,181.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $445.79 / $662.91 / $985.23	Professional		$445.79	$662.91	$985.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $370.76 / $599.62 / $946.13	Facility		$370.76	$599.62	$946.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $445.65 / $673.55 / $885.90	Professional		$445.65	$673.55	$885.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $471.96 / $700.20 / $850.23	Facility		$471.96	$700.20	$850.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $383.70 / $616.39 / $1,462.09	Facility		$383.70	$616.39	$1,462.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $514.22 / $741.86 / $1,062.79	Professional		$514.22	$741.86	$1,062.79
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 $534.10 / $782.93 / $1,206.17	Professional		$534.10	$782.93	$1,206.17
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $553.37 / $788.45 / $1,253.76	Professional		$553.37	$788.45	$1,253.76