Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.33 / $4,684.68 / $8,728.00	Facility		$372.33	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.91 / $307.77 / $903.62	Professional		$188.91	$307.77	$903.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.95 / $466.66 / $738.71	Professional		$267.95	$466.66	$738.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $326.13 / $445.03 / $635.26	Professional		$326.13	$445.03	$635.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $247.38 / $429.94 / $716.20	Facility		$247.38	$429.94	$716.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $273.29 / $427.38 / $698.44	Professional		$273.29	$427.38	$698.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $288.18 / $467.95 / $532.65	Facility		$288.18	$467.95	$532.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $266.31 / $448.16 / $716.20	Facility		$266.31	$448.16	$716.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $318.72 / $489.72 / $720.24	Professional		$318.72	$489.72	$720.24
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 $322.41 / $479.10 / $738.10	Professional		$322.41	$479.10	$738.10
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 $378.41 / $574.89 / $828.77	Professional		$378.41	$574.89	$828.77