Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $824.98 / $4,962.67 / $15,341.00	Facility		$824.98	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.75 / $503.68 / $1,193.60	Professional		$335.75	$503.68	$1,193.60
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 $440.04 / $715.91 / $1,041.21	Professional		$440.04	$715.91	$1,041.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $708.53 / $833.49 / $999.95	Professional		$708.53	$833.49	$999.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $496.55 / $717.29 / $971.10	Facility		$496.55	$717.29	$971.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $571.79 / $649.27 / $1,001.73	Professional		$571.79	$649.27	$1,001.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $503.40 / $684.47 / $760.45	Facility		$503.40	$684.47	$760.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $503.68 / $746.00 / $2,919.00	Facility		$503.68	$746.00	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $634.26 / $747.05 / $1,034.88	Professional		$634.26	$747.05	$1,034.88
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 $670.71 / $885.87 / $1,190.61	Professional		$670.71	$885.87	$1,190.61
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 $504.49 / $706.29 / $1,180.49	Professional		$504.49	$706.29	$1,180.49