Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.05 / $4,962.67 / $15,341.00	Facility		$353.05	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.38 / $425.27 / $926.72	Professional		$171.38	$425.27	$926.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.54 / $483.21 / $1,018.64	Professional		$276.54	$483.21	$1,018.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $304.27 / $446.58 / $857.01	Professional		$304.27	$446.58	$857.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $209.75 / $450.96 / $937.02	Facility		$209.75	$450.96	$937.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $258.32 / $553.86 / $1,097.25	Professional		$258.32	$553.86	$1,097.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $314.89 / $677.93 / $779.28	Facility		$314.89	$677.93	$779.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $209.75 / $532.11 / $964.50	Facility		$209.75	$532.11	$964.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $308.20 / $504.93 / $1,034.08	Professional		$308.20	$504.93	$1,034.08
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 $308.16 / $548.45 / $1,064.99	Professional		$308.16	$548.45	$1,064.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $3,758.00 / $7,693.76	Facility		$1,106.00	$3,758.00	$7,693.76
United Facility/Professional Professional Modifier Low / Median / High Price $575.58 / $766.53 / $1,195.82	Professional		$575.58	$766.53	$1,195.82