Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.71 / $5,649.00 / $15,341.00	Facility		$428.71	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.16 / $284.87 / $1,009.45	Professional		$179.16	$284.87	$1,009.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.39 / $418.83 / $571.34	Professional		$279.39	$418.83	$571.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $311.06 / $445.00 / $501.03	Professional		$311.06	$445.00	$501.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $284.87 / $412.53 / $612.47	Facility		$284.87	$412.53	$612.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $297.83 / $345.60 / $621.72	Professional		$297.83	$345.60	$621.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $271.80 / $371.85 / $389.27	Facility		$271.80	$371.85	$389.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $284.87 / $474.66 / $2,724.00	Facility		$284.87	$474.66	$2,724.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.05 / $451.56 / $571.34	Professional		$338.05	$451.56	$571.34
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 $356.10 / $476.71 / $609.47	Professional		$356.10	$476.71	$609.47
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 $294.14 / $431.68 / $616.01	Professional		$294.14	$431.68	$616.01