Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.50 / $4,962.67 / $15,341.00	Facility		$336.50	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.80 / $357.24 / $964.41	Professional		$164.80	$357.24	$964.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.33 / $482.21 / $1,055.79	Professional		$288.33	$482.21	$1,055.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.56 / $465.09 / $897.97	Professional		$316.56	$465.09	$897.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $218.05 / $468.81 / $877.68	Facility		$218.05	$468.81	$877.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $269.00 / $532.26 / $1,141.47	Professional		$269.00	$532.26	$1,141.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $328.30 / $602.84 / $778.54	Facility		$328.30	$602.84	$778.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.05 / $526.66 / $1,001.40	Facility		$218.05	$526.66	$1,001.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $321.16 / $518.32 / $1,039.02	Professional		$321.16	$518.32	$1,039.02
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 $321.11 / $571.49 / $1,105.73	Professional		$321.11	$571.49	$1,105.73
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 $534.04 / $718.90 / $1,241.56	Professional		$534.04	$718.90	$1,241.56