Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.22 / $7,920.26 / $20,400.00	Facility		$502.22	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.11 / $304.37 / $1,196.64	Professional		$258.11	$304.37	$1,196.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.30 / $510.10 / $689.35	Professional		$308.30	$510.10	$689.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.51 / $522.78 / $595.12	Professional		$366.51	$522.78	$595.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $304.37 / $474.67 / $729.37	Facility		$304.37	$474.67	$729.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $375.74 / $488.61 / $746.92	Professional		$375.74	$488.61	$746.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $354.17 / $446.47 / $500.49	Facility		$354.17	$446.47	$500.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $304.37 / $595.52 / $7,455.00	Facility		$304.37	$595.52	$7,455.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $403.38 / $545.23 / $712.06	Professional		$403.38	$545.23	$712.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,597.50 / $9,123.83 / $11,932.41	Facility		$4,597.50	$9,123.83	$11,932.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $426.84 / $561.52 / $739.67	Professional		$426.84	$561.52	$739.67
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 $352.05 / $561.38 / $738.35	Professional		$352.05	$561.38	$738.35