Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.13 / $4,283.46 / $8,728.00	Facility		$469.13	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.96 / $320.50 / $868.00	Professional		$193.96	$320.50	$868.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.70 / $465.38 / $619.53	Professional		$275.70	$465.38	$619.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $334.63 / $481.48 / $550.85	Professional		$334.63	$481.48	$550.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.27 / $433.57 / $689.08	Facility		$316.27	$433.57	$689.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $320.79 / $363.52 / $659.94	Professional		$320.79	$363.52	$659.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $252.86 / $383.17 / $422.10	Facility		$252.86	$383.17	$422.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $320.50 / $503.48 / $2,724.00	Facility		$320.50	$503.48	$2,724.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $351.34 / $496.91 / $621.26	Professional		$351.34	$496.91	$621.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $387.47 / $516.91 / $660.87	Professional		$387.47	$516.91	$660.87
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 $307.39 / $514.79 / $670.26	Professional		$307.39	$514.79	$670.26