Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.33 / $1,486.00 / $8,332.20	Facility		$450.33	$1,486.00	$8,332.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.32 / $441.46 / $1,183.80	Professional		$245.32	$441.46	$1,183.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.50 / $589.44 / $923.02	Professional		$349.50	$589.44	$923.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $432.57 / $585.91 / $827.72	Professional		$432.57	$585.91	$827.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $334.83 / $557.28 / $870.25	Facility		$334.83	$557.28	$870.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $366.66 / $559.12 / $1,015.74	Professional		$366.66	$559.12	$1,015.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $389.14 / $630.30 / $692.78	Facility		$389.14	$630.30	$692.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $334.83 / $667.35 / $2,327.00	Facility		$334.83	$667.35	$2,327.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $430.98 / $635.83 / $942.54	Professional		$430.98	$635.83	$942.54
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 $440.23 / $644.29 / $976.87	Professional		$440.23	$644.29	$976.87
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 $493.68 / $731.22 / $1,096.89	Professional		$493.68	$731.22	$1,096.89