Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.73 / $7,920.26 / $20,400.00	Facility		$460.73	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.25 / $286.36 / $1,106.10	Professional		$202.25	$286.36	$1,106.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.39 / $440.46 / $608.71	Professional		$279.39	$440.46	$608.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $307.23 / $434.21 / $494.29	Professional		$307.23	$434.21	$494.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $286.36 / $409.49 / $615.66	Facility		$286.36	$409.49	$615.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $304.76 / $410.88 / $605.82	Professional		$304.76	$410.88	$605.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $303.30 / $374.26 / $431.94	Facility		$303.30	$374.26	$431.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $286.36 / $519.21 / $7,455.00	Facility		$286.36	$519.21	$7,455.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $361.99 / $482.05 / $635.00	Professional		$361.99	$482.05	$635.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,811.13 / $10,179.44 / $12,623.94	Facility		$7,811.13	$10,179.44	$12,623.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $379.48 / $499.21 / $657.60	Professional		$379.48	$499.21	$657.60
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 $317.72 / $455.53 / $656.41	Professional		$317.72	$455.53	$656.41