Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.05 / $7,920.26 / $20,400.00	Facility		$432.05	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.93 / $291.98 / $1,027.72	Professional		$194.93	$291.98	$1,027.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.24 / $426.08 / $547.23	Professional		$283.24	$426.08	$547.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $297.30 / $418.83 / $471.56	Professional		$297.30	$418.83	$471.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $291.98 / $416.15 / $627.76	Facility		$291.98	$416.15	$627.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.14 / $347.82 / $586.73	Professional		$295.14	$347.82	$586.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $258.22 / $362.18 / $395.20	Facility		$258.22	$362.18	$395.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $291.98 / $471.44 / $627.76	Facility		$291.98	$471.44	$627.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $342.71 / $458.05 / $572.57	Professional		$342.71	$458.05	$572.57
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 $354.87 / $455.38 / $582.20	Professional		$354.87	$455.38	$582.20
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 $297.33 / $456.91 / $613.87	Professional		$297.33	$456.91	$613.87