Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.54 / $7,920.26 / $20,400.00	Facility		$438.54	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.43 / $308.52 / $1,089.77	Professional		$205.43	$308.52	$1,089.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.77 / $445.69 / $579.30	Professional		$299.77	$445.69	$579.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.64 / $443.06 / $498.85	Professional		$314.64	$443.06	$498.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $308.52 / $436.45 / $663.32	Facility		$308.52	$436.45	$663.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $312.76 / $368.90 / $621.72	Professional		$312.76	$368.90	$621.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $273.61 / $383.30 / $416.65	Facility		$273.61	$383.30	$416.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $308.52 / $497.17 / $663.32	Facility		$308.52	$497.17	$663.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $362.72 / $469.56 / $600.50	Professional		$362.72	$469.56	$600.50
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 $359.18 / $480.81 / $614.71	Professional		$359.18	$480.81	$614.71
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 $315.35 / $478.80 / $621.30	Professional		$315.35	$478.80	$621.30