Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.01 / $4,962.67 / $15,341.00	Facility		$440.01	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.21 / $458.28 / $1,117.51	Professional		$217.21	$458.28	$1,117.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.61 / $551.85 / $840.79	Professional		$355.61	$551.85	$840.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $392.59 / $531.77 / $708.16	Professional		$392.59	$531.77	$708.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $308.41 / $542.77 / $940.95	Facility		$308.41	$542.77	$940.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $340.38 / $489.65 / $791.83	Professional		$340.38	$489.65	$791.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $341.30 / $535.34 / $674.96	Facility		$341.30	$535.34	$674.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $308.41 / $572.70 / $940.95	Facility		$308.41	$572.70	$940.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $382.20 / $552.84 / $798.48	Professional		$382.20	$552.84	$798.48
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 $380.67 / $551.58 / $807.27	Professional		$380.67	$551.58	$807.27
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 $449.97 / $708.07 / $906.45	Professional		$449.97	$708.07	$906.45