Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,000.00 / $10,000.00	Facility		$537.03	$1,000.00	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $1,023.29	Professional		$239.88	$371.54	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $575.44 / $954.99	Professional		$309.03	$575.44	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $977.24	Professional		$478.63	$660.69	$977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $489.78 / $870.96	Facility		$275.42	$489.78	$870.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $588.84 / $912.01	Professional		$416.87	$588.84	$912.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $691.83 / $758.58	Facility		$489.78	$691.83	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $512.86 / $812.83	Facility		$275.42	$512.86	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $588.84 / $933.25	Professional		$79.43	$588.84	$933.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $6,165.95	Facility		$3,890.45	$5,128.61	$6,165.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $954.99	Professional		$467.74	$676.08	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $7,413.10	Facility		$1,096.48	$3,715.35	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $562.34 / $912.01	Professional		$363.08	$562.34	$912.01