Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.91 / $4,962.67 / $15,341.00	Facility		$424.91	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.30 / $352.77 / $949.72	Professional		$210.30	$352.77	$949.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.42 / $502.18 / $927.93	Professional		$320.42	$502.18	$927.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $368.48 / $533.34 / $806.65	Professional		$368.48	$533.34	$806.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $252.70 / $471.44 / $742.33	Facility		$252.70	$471.44	$742.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $313.29 / $503.68 / $1,032.42	Professional		$313.29	$503.68	$1,032.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $365.49 / $547.20 / $704.17	Facility		$365.49	$547.20	$704.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.16 / $554.07 / $2,327.00	Facility		$288.16	$554.07	$2,327.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $368.59 / $552.09 / $932.42	Professional		$368.59	$552.09	$932.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,568.64 / $2,283.92 / $5,273.56	Facility		$1,568.64	$2,283.92	$5,273.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $370.31 / $609.64 / $994.88	Professional		$370.31	$609.64	$994.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $491.31 / $611.82 / $1,106.71	Professional		$491.31	$611.82	$1,106.71