Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $582.35 / $5,649.00 / $15,341.00	Facility		$582.35	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.69 / $376.31 / $1,401.32	Professional		$274.69	$376.31	$1,401.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.83 / $573.94 / $778.84	Professional		$368.83	$573.94	$778.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $425.75 / $608.24 / $684.82	Professional		$425.75	$608.24	$684.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $376.31 / $563.33 / $809.07	Facility		$376.31	$563.33	$809.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $425.91 / $485.55 / $846.67	Professional		$425.91	$485.55	$846.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $372.58 / $504.51 / $530.64	Facility		$372.58	$504.51	$530.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $376.31 / $640.71 / $2,327.00	Facility		$376.31	$640.71	$2,327.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $469.15 / $608.79 / $778.84	Professional		$469.15	$608.79	$778.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,273.56 / $9,808.29 / $13,050.49	Facility		$5,273.56	$9,808.29	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $481.56 / $649.84 / $830.81	Professional		$481.56	$649.84	$830.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $406.51 / $565.89 / $833.04	Professional		$406.51	$565.89	$833.04