Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.50 / $4,962.67 / $15,341.00	Facility		$309.50	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.71 / $288.43 / $736.59	Professional		$156.71	$288.43	$736.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.93 / $364.69 / $538.41	Professional		$212.93	$364.69	$538.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $272.31 / $368.85 / $486.12	Professional		$272.31	$368.85	$486.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.24 / $334.49 / $480.67	Facility		$199.24	$334.49	$480.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $227.90 / $320.23 / $549.25	Professional		$227.90	$320.23	$549.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $240.77 / $350.34 / $402.00	Facility		$240.77	$350.34	$402.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.24 / $390.60 / $2,327.00	Facility		$199.24	$390.60	$2,327.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $262.02 / $375.36 / $540.40	Professional		$262.02	$375.36	$540.40
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 $269.32 / $383.26 / $560.91	Professional		$269.32	$383.26	$560.91
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 $294.14 / $389.27 / $629.82	Professional		$294.14	$389.27	$629.82