Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.87 / $2,747.00 / $7,920.26	Facility		$538.87	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.91 / $389.25 / $1,017.57	Professional		$232.91	$389.25	$1,017.57
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 $366.91 / $629.15 / $1,038.56	Professional		$366.91	$629.15	$1,038.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $518.29 / $661.50 / $1,008.79	Professional		$518.29	$661.50	$1,008.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $352.05 / $568.76 / $923.40	Facility		$352.05	$568.76	$923.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $417.02 / $621.46 / $932.69	Professional		$417.02	$621.46	$932.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $429.20 / $652.65 / $767.15	Facility		$429.20	$652.65	$767.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $352.05 / $571.22 / $966.22	Facility		$352.05	$571.22	$966.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $459.43 / $677.04 / $982.96	Professional		$459.43	$677.04	$982.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,539.74 / $4,494.80 / $5,709.03	Facility		$3,539.74	$4,494.80	$5,709.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $457.94 / $692.52 / $1,047.23	Professional		$457.94	$692.52	$1,047.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $513.00 / $753.35 / $1,166.54	Professional		$513.00	$753.35	$1,166.54