Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.72 / $7,920.26 / $20,400.00	Facility		$472.72	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.03 / $253.69 / $691.31	Professional		$200.03	$253.69	$691.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.31 / $522.23 / $740.95	Professional		$295.31	$522.23	$740.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $409.00 / $523.59 / $668.99	Professional		$409.00	$523.59	$668.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $247.27 / $431.78 / $619.23	Facility		$247.27	$431.78	$619.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $342.64 / $442.99 / $824.16	Professional		$342.64	$442.99	$824.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $291.45 / $454.24 / $562.13	Facility		$291.45	$454.24	$562.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $260.56 / $487.05 / $2,662.00	Facility		$260.56	$487.05	$2,662.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $386.64 / $544.70 / $736.56	Professional		$386.64	$544.70	$736.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,222.39	Facility		$4,573.85	$5,897.44	$7,222.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $414.34 / $563.20 / $794.00	Professional		$414.34	$563.20	$794.00
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 $384.25 / $591.60 / $883.24	Professional		$384.25	$591.60	$883.24