Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.90 / $2,747.00 / $7,920.26	Facility		$579.90	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.95 / $398.26 / $1,020.79	Professional		$266.95	$398.26	$1,020.79
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 $406.79 / $661.50 / $1,025.76	Professional		$406.79	$661.50	$1,025.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $553.20 / $701.41 / $926.14	Professional		$553.20	$701.41	$926.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $382.75 / $586.85 / $897.68	Facility		$382.75	$586.85	$897.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $444.21 / $616.59 / $858.20	Professional		$444.21	$616.59	$858.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $430.79 / $696.64 / $772.51	Facility		$430.79	$696.64	$772.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $382.75 / $583.27 / $953.35	Facility		$382.75	$583.27	$953.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $494.07 / $699.93 / $975.71	Professional		$494.07	$699.93	$975.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $502.38 / $720.16 / $1,056.74	Professional		$502.38	$720.16	$1,056.74
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 $512.44 / $779.80 / $1,151.43	Professional		$512.44	$779.80	$1,151.43