Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.61 / $4,962.67 / $15,341.00	Facility		$634.61	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.98 / $444.95 / $972.49	Professional		$284.98	$444.95	$972.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.08 / $747.04 / $1,079.88	Professional		$470.08	$747.04	$1,079.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $560.49 / $714.88 / $919.67	Professional		$560.49	$714.88	$919.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $444.95 / $733.05 / $998.57	Facility		$444.95	$733.05	$998.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $474.56 / $618.07 / $1,028.90	Professional		$474.56	$618.07	$1,028.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $442.84 / $693.81 / $758.20	Facility		$442.84	$693.81	$758.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $444.95 / $802.61 / $2,327.00	Facility		$444.95	$802.61	$2,327.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $544.00 / $745.92 / $1,033.16	Professional		$544.00	$745.92	$1,033.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $550.29 / $735.34 / $1,064.04	Professional		$550.29	$735.34	$1,064.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $576.63 / $887.80 / $1,183.63	Professional		$576.63	$887.80	$1,183.63