Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.04 / $3,925.18 / $15,341.00	Facility		$373.04	$3,925.18	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.58 / $303.29 / $934.00	Professional		$202.58	$303.29	$934.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.20 / $462.57 / $630.35	Professional		$296.20	$462.57	$630.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $344.85 / $494.67 / $556.95	Professional		$344.85	$494.67	$556.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $303.29 / $453.13 / $652.07	Facility		$303.29	$453.13	$652.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $382.20 / $687.52	Professional		$318.75	$382.20	$687.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $298.94 / $405.35 / $431.12	Facility		$298.94	$405.35	$431.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $303.29 / $514.60 / $3,274.00	Facility		$303.29	$514.60	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $377.38 / $490.52 / $627.28	Professional		$377.38	$490.52	$627.28
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 $387.47 / $525.94 / $671.45	Professional		$387.47	$525.94	$671.45
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 $315.17 / $454.66 / $670.26	Professional		$315.17	$454.66	$670.26