Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.75 / $4,684.68 / $8,728.00	Facility		$413.75	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.52 / $216.66 / $891.00	Professional		$160.52	$216.66	$891.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.03 / $464.30 / $658.65	Professional		$254.03	$464.30	$658.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $357.47 / $464.96 / $594.69	Professional		$357.47	$464.96	$594.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $216.66 / $368.95 / $530.37	Facility		$216.66	$368.95	$530.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $294.64 / $393.34 / $733.80	Professional		$294.64	$393.34	$733.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $256.07 / $393.96 / $500.49	Facility		$256.07	$393.96	$500.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $231.38 / $421.60 / $1,738.00	Facility		$231.38	$421.60	$1,738.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $337.94 / $480.54 / $656.48	Professional		$337.94	$480.54	$656.48
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 $362.54 / $492.80 / $707.78	Professional		$362.54	$492.80	$707.78
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 $331.24 / $426.79 / $787.35	Professional		$331.24	$426.79	$787.35