Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.88 / $5,649.00 / $15,341.00	Facility		$344.88	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.28 / $230.26 / $729.00	Professional		$145.28	$230.26	$729.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.57 / $337.86 / $461.20	Professional		$224.57	$337.86	$461.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.12 / $359.82 / $405.12	Professional		$251.12	$359.82	$405.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $230.26 / $332.78 / $495.06	Facility		$230.26	$332.78	$495.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $240.21 / $286.08 / $501.84	Professional		$240.21	$286.08	$501.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $219.48 / $298.82 / $314.23	Facility		$219.48	$298.82	$314.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $230.26 / $383.73 / $3,274.00	Facility		$230.26	$383.73	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $271.72 / $362.40 / $461.20	Professional		$271.72	$362.40	$461.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,032.32 / $5,176.14 / $6,353.74	Facility		$4,032.32	$5,176.14	$6,353.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $286.61 / $384.81 / $491.98	Professional		$286.61	$384.81	$491.98
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 $236.38 / $342.68 / $495.76	Professional		$236.38	$342.68	$495.76