Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.67 / $2,747.00 / $13,320.00	Facility		$362.67	$2,747.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $214.23 / $504.92	Professional		$140.69	$214.23	$504.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.84 / $373.23 / $604.47	Professional		$218.84	$373.23	$604.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $352.84 / $445.65 / $574.54	Professional		$352.84	$445.65	$574.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $214.23 / $322.06 / $489.76	Facility		$214.23	$322.06	$489.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $264.48 / $350.90 / $545.33	Professional		$264.48	$350.90	$545.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $258.55 / $385.55 / $469.67	Facility		$258.55	$385.55	$469.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $222.62 / $342.29 / $676.61	Facility		$222.62	$342.29	$676.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $294.00 / $411.41 / $587.09	Professional		$294.00	$411.41	$587.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $301.37 / $434.77 / $612.85	Professional		$301.37	$434.77	$612.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $296.18 / $407.35 / $655.65	Professional		$296.18	$407.35	$655.65