Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.03 / $4,962.67 / $15,341.00	Facility		$407.03	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.46 / $279.17 / $970.10	Professional		$201.46	$279.17	$970.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.07 / $447.57 / $579.30	Professional		$273.07	$447.57	$579.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $344.30 / $438.20 / $513.79	Professional		$344.30	$438.20	$513.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $240.71 / $401.14 / $517.53	Facility		$240.71	$401.14	$517.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $299.41 / $364.32 / $595.19	Professional		$299.41	$364.32	$595.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $272.19 / $390.65 / $428.13	Facility		$272.19	$390.65	$428.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $240.71 / $453.05 / $2,327.00	Facility		$240.71	$453.05	$2,327.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $341.85 / $453.48 / $578.87	Professional		$341.85	$453.48	$578.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,909.34 / $9,808.29 / $13,050.49	Facility		$6,909.34	$9,808.29	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $352.86 / $469.53 / $595.98	Professional		$352.86	$469.53	$595.98
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 $316.95 / $492.67 / $662.96	Professional		$316.95	$492.67	$662.96