Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.62 / $4,962.67 / $15,341.00	Facility		$328.62	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.43 / $293.51 / $820.41	Professional		$157.43	$293.51	$820.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.40 / $439.57 / $837.34	Professional		$252.40	$439.57	$837.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $284.23 / $414.25 / $745.23	Professional		$284.23	$414.25	$745.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $215.93 / $469.91 / $783.11	Facility		$215.93	$469.91	$783.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $246.91 / $475.86 / $905.70	Professional		$246.91	$475.86	$905.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $288.10 / $520.73 / $617.74	Facility		$288.10	$520.73	$617.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $215.93 / $481.31 / $2,327.00	Facility		$215.93	$481.31	$2,327.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $286.38 / $458.76 / $837.38	Professional		$286.38	$458.76	$837.38
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 $287.45 / $511.36 / $875.49	Professional		$287.45	$511.36	$875.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,517.00 / $7,385.00	Facility		$1,689.00	$5,517.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $447.20 / $602.00 / $983.05	Professional		$447.20	$602.00	$983.05