Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.25 / $2,747.00 / $11,670.87	Facility		$429.25	$2,747.00	$11,670.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.43 / $293.39 / $952.60	Professional		$213.43	$293.39	$952.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.71 / $568.39 / $793.81	Professional		$327.71	$568.39	$793.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.66 / $562.86 / $716.72	Professional		$446.66	$562.86	$716.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $270.33 / $485.60 / $665.82	Facility		$270.33	$485.60	$665.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $368.30 / $477.15 / $886.05	Professional		$368.30	$477.15	$886.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $324.82 / $491.78 / $604.34	Facility		$324.82	$491.78	$604.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $280.10 / $533.23 / $2,327.00	Facility		$280.10	$533.23	$2,327.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $431.45 / $595.85 / $799.22	Professional		$431.45	$595.85	$799.22
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 $453.83 / $606.45 / $850.86	Professional		$453.83	$606.45	$850.86
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 $412.07 / $565.59 / $946.50	Professional		$412.07	$565.59	$946.50