Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.75 / $4,962.67 / $15,341.00	Facility		$292.75	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.23 / $231.64 / $667.37	Professional		$123.23	$231.64	$667.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.44 / $352.57 / $582.23	Professional		$204.44	$352.57	$582.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.33 / $346.47 / $516.63	Professional		$255.33	$346.47	$516.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $189.18 / $319.41 / $532.29	Facility		$189.18	$319.41	$532.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.68 / $333.04 / $571.21	Professional		$208.68	$333.04	$571.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $214.83 / $378.88 / $427.46	Facility		$214.83	$378.88	$427.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $189.18 / $361.91 / $550.90	Facility		$189.18	$361.91	$550.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.68 / $385.22 / $581.66	Professional		$247.68	$385.22	$581.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,709.94 / $4,743.41 / $6,039.89	Facility		$3,709.94	$4,743.41	$6,039.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $255.08 / $394.85 / $608.29	Professional		$255.08	$394.85	$608.29
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 $308.99 / $452.19 / $683.04	Professional		$308.99	$452.19	$683.04