Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.27 / $7,920.26 / $20,400.00	Facility		$285.27	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.54 / $340.12 / $825.71	Professional		$137.54	$340.12	$825.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.49 / $382.53 / $842.75	Professional		$211.49	$382.53	$842.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.17 / $362.14 / $740.22	Professional		$252.17	$362.14	$740.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $188.96 / $406.26 / $820.28	Facility		$188.96	$406.26	$820.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.15 / $425.39 / $815.63	Professional		$208.15	$425.39	$815.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $215.76 / $545.26 / $618.12	Facility		$215.76	$545.26	$618.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.96 / $492.22 / $1,058.27	Facility		$188.96	$492.22	$1,058.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $244.95 / $403.39 / $847.12	Professional		$244.95	$403.39	$847.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,539.74 / $4,494.80 / $5,709.03	Facility		$3,539.74	$4,494.80	$5,709.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $248.60 / $442.44 / $876.44	Professional		$248.60	$442.44	$876.44
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 $470.83 / $720.80 / $974.96	Professional		$470.83	$720.80	$974.96