Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.57 / $4,684.68 / $8,728.00	Facility		$367.57	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.44 / $298.83 / $664.66	Professional		$206.44	$298.83	$664.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.42 / $455.79 / $617.55	Professional		$291.42	$455.79	$617.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.40 / $484.72 / $545.84	Professional		$338.40	$484.72	$545.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $298.83 / $444.43 / $642.51	Facility		$298.83	$444.43	$642.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $310.58 / $384.80 / $672.66	Professional		$310.58	$384.80	$672.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $293.61 / $397.98 / $420.76	Facility		$293.61	$397.98	$420.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $298.83 / $506.30 / $2,724.00	Facility		$298.83	$506.30	$2,724.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $370.13 / $480.25 / $617.55	Professional		$370.13	$480.25	$617.55
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 $381.94 / $515.27 / $658.77	Professional		$381.94	$515.27	$658.77
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 $321.18 / $446.40 / $660.68	Professional		$321.18	$446.40	$660.68