Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.75 / $4,962.67 / $15,341.00	Facility		$303.75	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.28 / $292.22 / $725.94	Professional		$146.28	$292.22	$725.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $604.00 / $604.00 / $604.00	Facility		$604.00	$604.00	$604.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.53 / $332.87 / $683.37	Professional		$164.53	$332.87	$683.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.09 / $322.04 / $624.04	Professional		$251.09	$322.04	$624.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $174.87 / $327.74 / $629.37	Facility		$174.87	$327.74	$629.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $219.35 / $421.64 / $600.52	Professional		$219.35	$421.64	$600.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $261.97 / $486.90 / $540.02	Facility		$261.97	$486.90	$540.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $196.10 / $452.64 / $3,065.00	Facility		$196.10	$452.64	$3,065.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $246.40 / $376.20 / $642.76	Professional		$246.40	$376.20	$642.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,274.53 / $2,981.90 / $3,790.07	Facility		$2,274.53	$2,981.90	$3,790.07
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $3,411.80 / $4,472.85 / $5,685.11	Facility	50	$3,411.80	$4,472.85	$5,685.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $249.09 / $429.04 / $707.00	Professional		$249.09	$429.04	$707.00
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 $346.09 / $495.29 / $717.41	Professional		$346.09	$495.29	$717.41