Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $439.23 / $9,972.00 / $20,400.00	Facility		$439.23	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.14 / $283.94 / $1,058.70	Professional		$209.14	$283.94	$1,058.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.56 / $450.94 / $652.61	Professional		$282.56	$450.94	$652.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $317.93 / $453.10 / $510.14	Professional		$317.93	$453.10	$510.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $283.94 / $442.80 / $610.47	Facility		$283.94	$442.80	$610.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $312.12 / $419.29 / $642.95	Professional		$312.12	$419.29	$642.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $277.62 / $387.30 / $460.56	Facility		$277.62	$387.30	$460.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $283.94 / $477.25 / $610.47	Facility		$283.94	$477.25	$610.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $360.08 / $478.80 / $599.79	Professional		$360.08	$478.80	$599.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,709.51 / $4,646.71 / $6,076.64	Facility		$3,709.51	$4,646.71	$6,076.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $370.24 / $495.58 / $633.60	Professional		$370.24	$495.58	$633.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $313.76 / $453.15 / $640.46	Professional		$313.76	$453.15	$640.46