Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.34 / $4,704.00 / $8,728.00	Facility		$449.34	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.79 / $234.68 / $1,035.04	Professional		$199.79	$234.68	$1,035.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.36 / $444.59 / $600.84	Professional		$255.36	$444.59	$600.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.14 / $464.89 / $523.87	Professional		$323.14	$464.89	$523.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.68 / $391.09 / $506.30	Facility		$234.68	$391.09	$506.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.49 / $344.65 / $646.13	Professional		$295.49	$344.65	$646.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $254.36 / $355.77 / $409.37	Facility		$254.36	$355.77	$409.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.68 / $446.31 / $2,724.00	Facility		$234.68	$446.31	$2,724.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $330.75 / $471.12 / $600.84	Professional		$330.75	$471.12	$600.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,041.14 / $9,224.37 / $11,703.59	Facility		$7,041.14	$9,224.37	$11,703.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $374.56 / $501.33 / $640.94	Professional		$374.56	$501.33	$640.94
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 $290.19 / $382.90 / $641.88	Professional		$290.19	$382.90	$641.88