Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.31 / $4,962.67 / $15,341.00	Facility		$762.31	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.15 / $479.27 / $916.78	Professional		$334.15	$479.27	$916.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.10 / $716.89 / $1,045.33	Professional		$438.10	$716.89	$1,045.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.71 / $749.99 / $886.31	Professional		$630.71	$749.99	$886.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $479.27 / $701.24 / $937.17	Facility		$479.27	$701.24	$937.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $569.48 / $644.17 / $931.88	Professional		$569.48	$644.17	$931.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $526.75 / $674.95 / $741.75	Facility		$526.75	$674.95	$741.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $479.27 / $764.58 / $2,919.00	Facility		$479.27	$764.58	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $646.95 / $749.10 / $978.99	Professional		$646.95	$749.10	$978.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,914.95 / $21,418.17 / $26,781.36	Facility		$8,914.95	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $649.47 / $829.67 / $1,115.08	Professional		$649.47	$829.67	$1,115.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $26,830.35	Facility		$1,981.00	$9,529.00	$26,830.35
United Facility/Professional Professional Modifier Low / Median / High Price $504.03 / $730.38 / $1,113.03	Professional		$504.03	$730.38	$1,113.03