Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.86 / $4,962.67 / $15,341.00	Facility		$327.86	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.81 / $304.70 / $769.31	Professional		$143.81	$304.70	$769.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $459.93 / $459.93 / $459.93	Professional	50	$459.93	$459.93	$459.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.40 / $409.00 / $775.78	Professional		$252.40	$409.00	$775.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.12 / $412.69 / $700.43	Professional		$283.12	$412.69	$700.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $218.37 / $437.15 / $770.95	Facility		$218.37	$437.15	$770.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $238.57 / $456.87 / $881.40	Professional		$238.57	$456.87	$881.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $269.45 / $502.30 / $579.54	Facility		$269.45	$502.30	$579.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.37 / $437.15 / $770.95	Facility		$218.37	$437.15	$770.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $283.52 / $456.29 / $782.24	Professional		$283.52	$456.29	$782.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,032.32 / $5,462.44 / $6,353.74	Facility		$4,032.32	$5,462.44	$6,353.74
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $6,048.48 / $8,193.66 / $9,530.61	Facility	50	$6,048.48	$8,193.66	$9,530.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $286.80 / $510.42 / $821.48	Professional		$286.80	$510.42	$821.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,241.93 / $7,385.00	Facility		$1,689.00	$5,241.93	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $414.46 / $638.11 / $922.39	Professional		$414.46	$638.11	$922.39