Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.25 / $4,684.68 / $8,728.00	Facility		$165.25	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.94 / $280.42 / $547.36	Professional		$172.94	$280.42	$547.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.57 / $275.57 / $275.57	Professional		$275.57	$275.57	$275.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $342.02 / $500.33 / $756.73	Professional		$342.02	$500.33	$756.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $227.98 / $490.16 / $1,033.59	Facility		$227.98	$490.16	$1,033.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $286.61 / $509.20 / $982.46	Professional		$286.61	$509.20	$982.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $305.98 / $610.24 / $994.28	Facility		$305.98	$610.24	$994.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $227.98 / $547.36 / $1,033.59	Facility		$227.98	$547.36	$1,033.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $336.42 / $560.54 / $1,104.84	Professional		$336.42	$560.54	$1,104.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,009.09 / $1,148.95 / $1,578.01	Facility		$1,009.09	$1,148.95	$1,578.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $304.38 / $615.27 / $1,092.47	Professional		$304.38	$615.27	$1,092.47
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $786.52 / $994.28 / $1,275.79	Professional		$786.52	$994.28	$1,275.79