Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.76 / $2,747.00 / $7,920.26	Facility		$483.76	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.55 / $309.69 / $792.09	Professional		$207.55	$309.69	$792.09
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 $255.63 / $468.72 / $688.00	Professional		$255.63	$468.72	$688.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $479.52 / $563.54 / $671.45	Professional		$479.52	$563.54	$671.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $260.41 / $416.36 / $557.76	Facility		$260.41	$416.36	$557.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $355.80 / $430.72 / $669.87	Professional		$355.80	$430.72	$669.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $297.54 / $436.17 / $506.52	Facility		$297.54	$436.17	$506.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $303.49 / $416.36 / $638.66	Facility		$303.49	$416.36	$638.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $401.46 / $492.18 / $679.25	Professional		$401.46	$492.18	$679.25
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 $436.23 / $585.38 / $782.30	Professional		$436.23	$585.38	$782.30
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 $329.66 / $462.40 / $789.40	Professional		$329.66	$462.40	$789.40