Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.45 / $4,962.67 / $15,341.00	Facility		$262.45	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.21 / $236.52 / $675.65	Professional		$114.21	$236.52	$675.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.50 / $352.05 / $741.50	Professional		$201.50	$352.05	$741.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.13 / $333.30 / $659.62	Professional		$229.13	$333.30	$659.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $174.53 / $375.24 / $644.08	Facility		$174.53	$375.24	$644.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $192.67 / $383.01 / $799.62	Professional		$192.67	$383.01	$799.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $229.81 / $440.21 / $545.38	Facility		$229.81	$440.21	$545.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $174.53 / $421.47 / $2,327.00	Facility		$174.53	$421.47	$2,327.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $228.33 / $365.00 / $742.93	Professional		$228.33	$365.00	$742.93
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 $229.18 / $407.88 / $769.37	Professional		$229.18	$407.88	$769.37
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 $396.76 / $511.20 / $863.87	Professional		$396.76	$511.20	$863.87