Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.50 / $4,962.67 / $15,341.00	Facility		$424.50	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.65 / $263.33 / $521.58	Professional		$173.65	$263.33	$521.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.77 / $487.44 / $822.95	Professional		$300.77	$487.44	$822.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $306.74 / $448.29 / $706.03	Professional		$306.74	$448.29	$706.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $247.58 / $425.45 / $716.29	Facility		$247.58	$425.45	$716.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.02 / $486.75 / $671.91	Professional		$309.02	$486.75	$671.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $332.88 / $557.53 / $620.41	Facility		$332.88	$557.53	$620.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $247.58 / $449.31 / $799.75	Facility		$247.58	$449.31	$799.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $367.89 / $531.08 / $783.40	Professional		$367.89	$531.08	$783.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,391.79 / $11,115.96 / $14,408.62	Facility		$8,391.79	$11,115.96	$14,408.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $375.49 / $573.21 / $883.07	Professional		$375.49	$573.21	$883.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $419.71 / $580.45 / $923.00	Professional		$419.71	$580.45	$923.00