Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.22 / $7,074.00 / $13,320.00	Facility		$444.22	$7,074.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.41 / $397.97 / $829.86	Professional		$344.41	$397.97	$829.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.82 / $700.55 / $927.66	Professional		$428.82	$700.55	$927.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $493.18 / $700.62 / $788.82	Professional		$493.18	$700.62	$788.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $361.16 / $726.57 / $1,077.28	Facility		$361.16	$726.57	$1,077.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $499.03 / $649.79 / $992.00	Professional		$499.03	$649.79	$992.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $439.44 / $600.78 / $742.50	Facility		$439.44	$600.78	$742.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $361.16 / $776.49 / $5,626.00	Facility		$361.16	$776.49	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $550.16 / $743.33 / $920.69	Professional		$550.16	$743.33	$920.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,039.76 / $15,838.63 / $18,619.91	Facility		$12,039.76	$15,838.63	$18,619.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $571.98 / $767.17 / $980.82	Professional		$571.98	$767.17	$980.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $473.37 / $783.07 / $980.22	Professional		$473.37	$783.07	$980.22