Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $684.91 / $9,972.00 / $20,400.00	Facility		$684.91	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.33 / $456.09 / $1,619.84	Professional		$289.33	$456.09	$1,619.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.53 / $672.77 / $912.58	Professional		$424.53	$672.77	$912.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $495.07 / $706.24 / $795.16	Professional		$495.07	$706.24	$795.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $456.09 / $662.65 / $980.59	Facility		$456.09	$662.65	$980.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $476.34 / $571.52 / $989.87	Professional		$476.34	$571.52	$989.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $437.50 / $598.30 / $621.76	Facility		$437.50	$598.30	$621.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $456.09 / $760.07 / $7,952.00	Facility		$456.09	$760.07	$7,952.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $540.99 / $724.25 / $912.58	Professional		$540.99	$724.25	$912.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,198.09 / $20,033.77 / $25,621.76	Facility		$15,198.09	$20,033.77	$25,621.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $569.52 / $761.42 / $973.47	Professional		$569.52	$761.42	$973.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $473.29 / $715.49 / $985.18	Professional		$473.29	$715.49	$985.18