Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.50 / $5,633.00 / $11,702.82	Facility		$689.50	$5,633.00	$11,702.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.52 / $474.13 / $1,793.00	Professional		$299.52	$474.13	$1,793.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.14 / $679.90 / $994.92	Professional		$402.14	$679.90	$994.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $669.59 / $791.55 / $949.63	Professional		$669.59	$791.55	$949.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $468.51 / $653.82 / $920.97	Facility		$468.51	$653.82	$920.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $523.53 / $618.88 / $942.35	Professional		$523.53	$618.88	$942.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $465.60 / $643.87 / $715.56	Facility		$465.60	$643.87	$715.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $701.22 / $5,217.00	Facility		$480.00	$701.22	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $594.91 / $702.88 / $972.82	Professional		$594.91	$702.88	$972.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $633.39 / $833.57 / $1,120.33	Professional		$633.39	$833.57	$1,120.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $467.52 / $672.06 / $1,050.34	Professional		$467.52	$672.06	$1,050.34