Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.38 / $4,684.68 / $8,728.00	Facility		$747.38	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.25 / $465.49 / $1,066.47	Professional		$284.25	$465.49	$1,066.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $388.58 / $646.46 / $966.11	Professional		$388.58	$646.46	$966.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $627.91 / $742.51 / $882.39	Professional		$627.91	$742.51	$882.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $465.49 / $637.72 / $895.06	Facility		$465.49	$637.72	$895.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $544.38 / $589.87 / $950.20	Professional		$544.38	$589.87	$950.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $455.43 / $635.16 / $670.00	Facility		$455.43	$635.16	$670.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $465.49 / $657.02 / $895.06	Facility		$465.49	$657.02	$895.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $587.76 / $675.45 / $918.30	Professional		$587.76	$675.45	$918.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,364.17 / $9,638.43 / $12,117.15	Facility		$6,364.17	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $611.95 / $780.50 / $1,049.00	Professional		$611.95	$780.50	$1,049.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $445.56 / $673.08 / $1,022.33	Professional		$445.56	$673.08	$1,022.33