Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.74 / $2,747.00 / $7,920.26	Facility		$719.74	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.11 / $467.39 / $1,098.17	Professional		$300.11	$467.39	$1,098.17
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 $385.46 / $679.88 / $1,015.22	Professional		$385.46	$679.88	$1,015.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $680.46 / $815.59 / $931.91	Professional		$680.46	$815.59	$931.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $384.26 / $616.78 / $862.75	Facility		$384.26	$616.78	$862.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $544.38 / $617.40 / $993.87	Professional		$544.38	$617.40	$993.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $469.00 / $668.66 / $753.08	Facility		$469.00	$668.66	$753.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.50 / $616.78 / $952.44	Facility		$436.50	$616.78	$952.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $595.44 / $721.81 / $988.24	Professional		$595.44	$721.81	$988.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,016.60	Facility		$3,820.30	$4,901.89	$6,016.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $629.17 / $827.71 / $1,090.31	Professional		$629.17	$827.71	$1,090.31
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 $505.18 / $718.20 / $1,142.72	Professional		$505.18	$718.20	$1,142.72