Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.10 / $340.08 / $387.79	Professional		$329.10	$340.08	$387.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.45 / $662.47 / $879.14	Professional		$423.45	$662.47	$879.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $556.13 / $675.76 / $769.26	Professional		$556.13	$675.76	$769.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $387.79 / $579.09 / $821.34	Facility		$387.79	$579.09	$821.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $456.96 / $570.15 / $592.00	Professional		$456.96	$570.15	$592.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $263.07 / $491.08 / $598.98	Facility		$263.07	$491.08	$598.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $387.79 / $686.74 / $821.34	Facility		$387.79	$686.74	$821.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $566.67 / $733.94 / $939.14	Professional		$566.67	$733.94	$939.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,589.46 / $23,006.48 / $27,957.27	Facility		$16,589.46	$23,006.48	$27,957.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $588.10 / $733.53 / $990.13	Professional		$588.10	$733.53	$990.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $17,375.00 / $26,255.00	Facility		$3,028.00	$17,375.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $490.84 / $699.47 / $1,066.25	Professional		$490.84	$699.47	$1,066.25