Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.29 / $4,962.67 / $15,341.00	Facility		$416.29	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.20 / $303.57 / $987.78	Professional		$200.20	$303.57	$987.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.35 / $455.49 / $615.23	Professional		$284.35	$455.49	$615.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $361.80 / $450.27 / $553.25	Professional		$361.80	$450.27	$553.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.65 / $427.80 / $532.10	Facility		$245.65	$427.80	$532.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $305.83 / $388.48 / $679.77	Professional		$305.83	$388.48	$679.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $272.36 / $412.72 / $463.64	Facility		$272.36	$412.72	$463.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.65 / $465.34 / $2,327.00	Facility		$245.65	$465.34	$2,327.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $348.39 / $474.86 / $628.04	Professional		$348.39	$474.86	$628.04
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 $363.84 / $487.05 / $648.09	Professional		$363.84	$487.05	$648.09
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 $341.85 / $462.93 / $727.71	Professional		$341.85	$462.93	$727.71