Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.13 / $2,747.00 / $15,341.00	Facility		$288.13	$2,747.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.66 / $299.89 / $694.81	Professional		$141.66	$299.89	$694.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.78 / $388.43 / $823.38	Professional		$227.78	$388.43	$823.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.50 / $368.43 / $698.52	Professional		$251.50	$368.43	$698.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $171.60 / $368.94 / $702.15	Facility		$171.60	$368.94	$702.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $212.42 / $422.27 / $893.91	Professional		$212.42	$422.27	$893.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $258.62 / $493.12 / $609.70	Facility		$258.62	$493.12	$609.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $196.68 / $539.39 / $2,327.00	Facility		$196.68	$539.39	$2,327.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.90 / $411.95 / $827.52	Professional		$250.90	$411.95	$827.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,993.29 / $6,338.31 / $7,624.85	Facility		$4,993.29	$6,338.31	$7,624.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $250.54 / $445.90 / $862.23	Professional		$250.54	$445.90	$862.23
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 $426.87 / $570.76 / $968.14	Professional		$426.87	$570.76	$968.14