Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.97 / $7,920.26 / $20,400.00	Facility		$576.97	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.36 / $342.73 / $1,395.50	Professional		$267.36	$342.73	$1,395.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.55 / $567.64 / $768.02	Professional		$368.55	$567.64	$768.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $417.88 / $590.94 / $665.34	Professional		$417.88	$590.94	$665.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $342.73 / $538.03 / $736.87	Facility		$342.73	$538.03	$736.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $391.17 / $493.35 / $832.86	Professional		$391.17	$493.35	$832.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $374.52 / $509.05 / $533.37	Facility		$374.52	$509.05	$533.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $342.73 / $640.76 / $5,851.00	Facility		$342.73	$640.76	$5,851.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $465.53 / $612.84 / $769.07	Professional		$465.53	$612.84	$769.07
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 $477.88 / $640.80 / $819.27	Professional		$477.88	$640.80	$819.27
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 $408.10 / $602.16 / $818.95	Professional		$408.10	$602.16	$818.95