Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.37 / $4,684.68 / $8,728.00	Facility		$440.37	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.26 / $247.81 / $638.82	Professional		$167.26	$247.81	$638.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.34 / $370.52 / $546.33	Professional		$211.34	$370.52	$546.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $377.33 / $447.01 / $536.28	Professional		$377.33	$447.01	$536.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $247.35 / $333.36 / $452.35	Facility		$247.35	$333.36	$452.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $287.76 / $339.84 / $528.39	Professional		$287.76	$339.84	$528.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $250.51 / $361.13 / $402.67	Facility		$250.51	$361.13	$402.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $248.75 / $370.28 / $2,450.00	Facility		$248.75	$370.28	$2,450.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $321.56 / $395.16 / $544.64	Professional		$321.56	$395.16	$544.64
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 $364.10 / $469.08 / $630.45	Professional		$364.10	$469.08	$630.45
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 $262.08 / $377.29 / $613.29	Professional		$262.08	$377.29	$613.29