Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $610.83 / $4,121.47 / $13,320.00	Facility		$610.83	$4,121.47	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.83 / $375.45 / $1,333.89	Professional		$258.83	$375.45	$1,333.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.03 / $617.84 / $920.08	Professional		$397.03	$617.84	$920.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $463.07 / $631.90 / $809.54	Professional		$463.07	$631.90	$809.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $339.12 / $562.08 / $880.47	Facility		$339.12	$562.08	$880.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $410.55 / $625.02 / $1,062.35	Professional		$410.55	$625.02	$1,062.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $434.53 / $615.69 / $723.52	Facility		$434.53	$615.69	$723.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $339.12 / $702.69 / $5,851.00	Facility		$339.12	$702.69	$5,851.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $475.46 / $686.57 / $993.17	Professional		$475.46	$686.57	$993.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,811.13 / $10,179.44 / $11,932.41	Facility		$7,811.13	$10,179.44	$11,932.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $486.84 / $676.53 / $990.14	Professional		$486.84	$676.53	$990.14
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 $530.39 / $746.64 / $1,111.77	Professional		$530.39	$746.64	$1,111.77