Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.27 / $8,528.64 / $14,701.00	Facility		$558.27	$8,528.64	$14,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.88 / $371.38 / $1,327.00	Professional		$283.88	$371.38	$1,327.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.40 / $615.10 / $836.86	Professional		$399.40	$615.10	$836.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $455.59 / $646.79 / $728.23	Professional		$455.59	$646.79	$728.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.38 / $581.29 / $798.47	Facility		$371.38	$581.29	$798.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $424.83 / $515.22 / $907.12	Professional		$424.83	$515.22	$907.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $405.04 / $550.54 / $582.08	Facility		$405.04	$550.54	$582.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.38 / $694.71 / $5,626.00	Facility		$371.38	$694.71	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $504.17 / $662.97 / $836.86	Professional		$504.17	$662.97	$836.86
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 $517.85 / $698.25 / $892.70	Professional		$517.85	$698.25	$892.70
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 $432.11 / $678.09 / $887.47	Professional		$432.11	$678.09	$887.47