Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $5,623.41 / $11,748.98	Facility		$501.19	$5,623.41	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $1,621.81	Professional		$302.00	$457.09	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $645.65 / $977.24	Professional		$371.54	$645.65	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $870.96	Professional		$562.34	$741.31	$870.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $602.56 / $5,623.41	Facility		$363.08	$602.56	$5,623.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $616.60 / $933.25	Professional		$489.78	$616.60	$933.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $645.65 / $707.95	Facility		$524.81	$645.65	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $575.44 / $831.76	Facility		$363.08	$575.44	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $645.65 / $954.99	Professional		$79.43	$645.65	$954.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,011.87 / $6,165.95	Facility		$3,801.89	$5,011.87	$6,165.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $1,000.00	Professional		$602.56	$724.44	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $8,128.31 / $12,882.50	Facility		$1,995.26	$8,128.31	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $933.25	Professional		$446.68	$660.69	$933.25