Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.08 / $5,116.62 / $13,320.00	Facility		$398.08	$5,116.62	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.15 / $321.16 / $859.52	Professional		$203.15	$321.16	$859.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.00 / $511.07 / $981.20	Professional		$338.00	$511.07	$981.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $372.96 / $548.55 / $853.10	Professional		$372.96	$548.55	$853.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $258.17 / $494.13 / $773.80	Facility		$258.17	$494.13	$773.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $317.56 / $519.64 / $1,090.38	Professional		$317.56	$519.64	$1,090.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $346.79 / $565.97 / $743.70	Facility		$346.79	$565.97	$743.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $258.17 / $555.07 / $1,278.90	Facility		$258.17	$555.07	$1,278.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $376.86 / $571.94 / $987.36	Professional		$376.86	$571.94	$987.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $10,952.22 / $13,050.49	Facility		$8,508.06	$10,952.22	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $380.67 / $626.69 / $1,055.52	Professional		$380.67	$626.69	$1,055.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $508.57 / $655.27 / $1,185.17	Professional		$508.57	$655.27	$1,185.17