Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.83 / $4,962.67 / $15,341.00	Facility		$259.83	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $211.26 / $926.63	Professional		$149.97	$211.26	$926.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.52 / $398.95 / $538.89	Professional		$226.52	$398.95	$538.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $290.23 / $417.68 / $470.26	Professional		$290.23	$417.68	$470.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $211.26 / $351.20 / $466.50	Facility		$211.26	$351.20	$466.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $274.33 / $310.20 / $581.41	Professional		$274.33	$310.20	$581.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $236.18 / $327.63 / $367.16	Facility		$236.18	$327.63	$367.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $211.26 / $392.95 / $468.52	Facility		$211.26	$392.95	$468.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $298.98 / $422.76 / $538.89	Professional		$298.98	$422.76	$538.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,328.38 / $8,364.56 / $10,637.18	Facility		$5,328.38	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $335.81 / $449.63 / $574.85	Professional		$335.81	$449.63	$574.85
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 $270.30 / $363.28 / $580.88	Professional		$270.30	$363.28	$580.88