Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.81 / $4,704.00 / $8,728.00	Facility		$686.81	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.52 / $420.32 / $1,613.22	Professional		$282.52	$420.32	$1,613.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.08 / $678.67 / $938.14	Professional		$401.08	$678.67	$938.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $504.15 / $729.94 / $831.03	Professional		$504.15	$729.94	$831.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $420.32 / $601.05 / $903.69	Facility		$420.32	$601.05	$903.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $469.71 / $556.14 / $1,018.54	Professional		$469.71	$556.14	$1,018.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $406.09 / $579.02 / $639.17	Facility		$406.09	$579.02	$639.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $420.32 / $746.30 / $3,729.00	Facility		$420.32	$746.30	$3,729.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $516.32 / $722.18 / $963.80	Professional		$516.32	$722.18	$963.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,410.73 / $11,450.46 / $14,700.82	Facility		$8,410.73	$11,450.46	$14,700.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $579.98 / $762.98 / $1,005.05	Professional		$579.98	$762.98	$1,005.05
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 $465.92 / $627.20 / $993.93	Professional		$465.92	$627.20	$993.93