Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.67 / $4,962.67 / $15,341.00	Facility		$347.67	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.03 / $246.82 / $607.33	Professional		$138.03	$246.82	$607.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $342.56 / $342.56 / $377.10	Professional	50	$342.56	$342.56	$377.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $451.00 / $451.00	Facility		$451.00	$451.00	$451.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.81 / $359.96 / $706.91	Professional		$187.81	$359.96	$706.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.06 / $366.31 / $644.20	Professional		$260.06	$366.31	$644.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.52 / $345.36 / $649.62	Facility		$199.52	$345.36	$649.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $249.25 / $436.57 / $621.79	Professional		$249.25	$436.57	$621.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $296.63 / $478.23 / $560.79	Facility		$296.63	$478.23	$560.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $205.28 / $411.25 / $720.80	Facility		$205.28	$411.25	$720.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $282.72 / $419.83 / $671.87	Professional		$282.72	$419.83	$671.87
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 $285.37 / $454.38 / $735.00	Professional		$285.37	$454.38	$735.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,517.00 / $7,385.00	Facility		$1,689.00	$5,517.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $349.20 / $514.15 / $778.31	Professional		$349.20	$514.15	$778.31