Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.94 / $7,920.26 / $20,400.00	Facility		$628.94	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.94 / $373.64 / $1,517.80	Professional		$289.94	$373.64	$1,517.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.65 / $618.84 / $840.79	Professional		$401.65	$618.84	$840.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $458.16 / $650.17 / $732.04	Professional		$458.16	$650.17	$732.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $373.64 / $590.04 / $803.33	Facility		$373.64	$590.04	$803.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $430.95 / $524.54 / $912.43	Professional		$430.95	$524.54	$912.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $406.98 / $552.75 / $579.60	Facility		$406.98	$552.75	$579.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $373.64 / $698.03 / $5,626.00	Facility		$373.64	$698.03	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $506.59 / $667.01 / $840.79	Professional		$506.59	$667.01	$840.79
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 $520.32 / $701.53 / $896.90	Professional		$520.32	$701.53	$896.90
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 $434.20 / $636.11 / $900.07	Professional		$434.20	$636.11	$900.07