Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.04 / $4,962.67 / $15,341.00	Facility		$327.04	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.59 / $235.98 / $741.17	Professional		$140.59	$235.98	$741.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $372.27 / $549.65	Professional		$201.00	$372.27	$549.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.58 / $384.12 / $495.90	Professional		$283.58	$384.12	$495.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $170.44 / $296.41 / $398.01	Facility		$170.44	$296.41	$398.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $220.83 / $312.39 / $559.32	Professional		$220.83	$312.39	$559.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $199.61 / $291.72 / $417.41	Facility		$199.61	$291.72	$417.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.48 / $324.70 / $2,327.00	Facility		$186.48	$324.70	$2,327.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $262.01 / $389.50 / $550.88	Professional		$262.01	$389.50	$550.88
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 $286.14 / $403.33 / $590.29	Professional		$286.14	$403.33	$590.29
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 $260.20 / $383.16 / $656.65	Professional		$260.20	$383.16	$656.65