Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.25 / $4,962.67 / $15,341.00	Facility		$285.25	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.31 / $329.58 / $694.92	Professional		$146.31	$329.58	$694.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.98 / $340.47 / $584.61	Professional		$210.98	$340.47	$584.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.01 / $347.53 / $527.85	Professional		$247.01	$347.53	$527.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $189.32 / $329.58 / $549.25	Facility		$189.32	$329.58	$549.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $207.62 / $345.86 / $642.45	Professional		$207.62	$345.86	$642.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $234.80 / $386.40 / $438.18	Facility		$234.80	$386.40	$438.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $189.32 / $405.12 / $2,327.00	Facility		$189.32	$405.12	$2,327.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $246.02 / $381.55 / $584.61	Professional		$246.02	$381.55	$584.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,277.96 / $10,794.36 / $14,018.87	Facility		$8,277.96	$10,794.36	$14,018.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $249.25 / $401.61 / $618.72	Professional		$249.25	$401.61	$618.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $311.49 / $449.93 / $722.53	Professional		$311.49	$449.93	$722.53