Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.23 / $4,962.67 / $15,341.00	Facility		$235.23	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.37 / $337.05 / $1,305.81	Professional		$103.37	$337.05	$1,305.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.56 / $300.11 / $623.24	Professional		$198.56	$300.11	$623.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.67 / $273.87 / $561.22	Professional		$200.67	$273.87	$561.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $143.16 / $304.52 / $561.69	Facility		$143.16	$304.52	$561.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $175.07 / $348.01 / $684.69	Professional		$175.07	$348.01	$684.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $212.26 / $398.65 / $472.35	Facility		$212.26	$398.65	$472.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.16 / $337.05 / $2,327.00	Facility		$143.16	$337.05	$2,327.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $207.90 / $341.72 / $685.42	Professional		$207.90	$341.72	$685.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,905.09 / $4,483.20 / $5,995.38	Facility		$1,905.09	$4,483.20	$5,995.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $211.70 / $376.77 / $661.35	Professional		$211.70	$376.77	$661.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $359.55 / $493.50 / $742.59	Professional		$359.55	$493.50	$742.59