Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.70 / $2,747.00 / $8,728.00	Facility		$512.70	$2,747.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.57 / $364.92 / $1,013.43	Professional		$237.57	$364.92	$1,013.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Facility		$78.00	$78.00	$78.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.87 / $613.08 / $1,004.16	Professional		$361.87	$613.08	$1,004.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $551.51 / $701.82 / $923.97	Professional		$551.51	$701.82	$923.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $364.92 / $568.01 / $842.45	Facility		$364.92	$568.01	$842.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $441.01 / $603.11 / $858.97	Professional		$441.01	$603.11	$858.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $444.82 / $662.09 / $757.10	Facility		$444.82	$662.09	$757.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $364.92 / $568.01 / $965.36	Facility		$364.92	$568.01	$965.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $480.70 / $674.08 / $977.63	Professional		$480.70	$674.08	$977.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $4,855.54 / $6,069.32	Facility		$3,868.81	$4,855.54	$6,069.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $480.34 / $710.55 / $1,028.83	Professional		$480.34	$710.55	$1,028.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $492.76 / $697.70 / $1,170.23	Professional		$492.76	$697.70	$1,170.23