Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.61 / $4,684.68 / $8,728.00	Facility		$292.61	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.18 / $416.75 / $1,070.47	Professional		$153.18	$416.75	$1,070.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.92 / $433.94 / $1,029.18	Professional		$229.92	$433.94	$1,029.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.44 / $362.08 / $929.24	Professional		$246.44	$362.08	$929.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.11 / $428.09 / $868.70	Facility		$199.11	$428.09	$868.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $211.35 / $438.10 / $1,032.58	Professional		$211.35	$438.10	$1,032.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $255.62 / $619.88 / $755.76	Facility		$255.62	$619.88	$755.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.11 / $577.64 / $1,241.93	Facility		$199.11	$577.64	$1,241.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $256.07 / $440.16 / $1,020.19	Professional		$256.07	$440.16	$1,020.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $555.45 / $674.64 / $914.40	Facility		$555.45	$674.64	$914.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $257.02 / $457.42 / $1,068.78	Professional		$257.02	$457.42	$1,068.78
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 $512.04 / $672.68 / $1,200.08	Professional		$512.04	$672.68	$1,200.08