Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.35 / $4,962.67 / $15,341.00	Facility		$440.35	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.81 / $441.67 / $1,110.19	Professional		$255.81	$441.67	$1,110.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.21 / $546.72 / $816.75	Professional		$342.21	$546.72	$816.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $396.65 / $537.27 / $728.53	Professional		$396.65	$537.27	$728.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $308.75 / $514.53 / $799.85	Facility		$308.75	$514.53	$799.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $342.67 / $494.70 / $812.89	Professional		$342.67	$494.70	$812.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $345.32 / $548.04 / $611.71	Facility		$345.32	$548.04	$611.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $308.75 / $617.38 / $2,327.00	Facility		$308.75	$617.38	$2,327.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $382.85 / $557.35 / $805.35	Professional		$382.85	$557.35	$805.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,245.03 / $1,561.00 / $2,179.07	Facility		$1,245.03	$1,561.00	$2,179.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $381.32 / $558.08 / $824.33	Professional		$381.32	$558.08	$824.33
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $455.27 / $676.16 / $925.60	Professional		$455.27	$676.16	$925.60