Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.08 / $4,962.67 / $15,341.00	Facility		$359.08	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.07 / $451.63 / $1,221.54	Professional		$175.07	$451.63	$1,221.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.57 / $488.68 / $1,042.58	Professional		$283.57	$488.68	$1,042.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $311.20 / $456.77 / $887.73	Professional		$311.20	$456.77	$887.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.39 / $458.79 / $927.45	Facility		$213.39	$458.79	$927.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.64 / $549.78 / $990.47	Professional		$263.64	$549.78	$990.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $321.60 / $678.58 / $778.60	Facility		$321.60	$678.58	$778.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.39 / $549.53 / $1,181.49	Facility		$213.39	$549.53	$1,181.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $312.74 / $514.66 / $1,055.75	Professional		$312.74	$514.66	$1,055.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,568.64 / $2,136.85 / $2,599.42	Facility		$1,568.64	$2,136.85	$2,599.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $312.69 / $556.51 / $1,085.83	Professional		$312.69	$556.51	$1,085.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $589.16 / $793.11 / $1,219.24	Professional		$589.16	$793.11	$1,219.24