Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.16 / $5,649.00 / $15,341.00	Facility		$562.16	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.44 / $338.15 / $803.78	Professional		$259.44	$338.15	$803.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.25 / $562.36 / $749.34	Professional		$362.25	$562.36	$749.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $408.05 / $576.74 / $649.35	Professional		$408.05	$576.74	$649.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.15 / $553.90 / $727.02	Facility		$338.15	$553.90	$727.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $386.07 / $492.78 / $813.77	Professional		$386.07	$492.78	$813.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $367.74 / $497.08 / $536.76	Facility		$367.74	$497.08	$536.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.15 / $631.79 / $3,065.00	Facility		$338.15	$631.79	$3,065.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $461.30 / $603.14 / $751.99	Professional		$461.30	$603.14	$751.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,525.75 / $15,225.66 / $19,370.28	Facility		$11,525.75	$15,225.66	$19,370.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $464.96 / $625.22 / $799.34	Professional		$464.96	$625.22	$799.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $402.27 / $560.62 / $804.32	Professional		$402.27	$560.62	$804.32