Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.41 / $8,878.56 / $20,400.00	Facility		$519.41	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.68 / $308.06 / $1,253.96	Professional		$239.68	$308.06	$1,253.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.76 / $511.72 / $693.28	Professional		$331.76	$511.72	$693.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $378.85 / $538.09 / $605.84	Professional		$378.85	$538.09	$605.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $308.06 / $488.71 / $662.33	Facility		$308.06	$488.71	$662.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $358.02 / $427.80 / $754.33	Professional		$358.02	$427.80	$754.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $335.76 / $456.94 / $472.35	Facility		$335.76	$456.94	$472.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $308.06 / $576.02 / $6,246.00	Facility		$308.06	$576.02	$6,246.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $419.04 / $551.40 / $693.28	Professional		$419.04	$551.40	$693.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $11,474.33 / $13,050.49	Facility		$8,508.06	$11,474.33	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $429.90 / $578.45 / $739.55	Professional		$429.90	$578.45	$739.55
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 $365.70 / $512.52 / $736.74	Professional		$365.70	$512.52	$736.74