Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.64 / $4,962.67 / $15,341.00	Facility		$784.64	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.45 / $480.02 / $1,135.28	Professional		$320.45	$480.02	$1,135.28
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 $407.48 / $680.66 / $1,021.67	Professional		$407.48	$680.66	$1,021.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $673.43 / $792.44 / $950.70	Professional		$673.43	$792.44	$950.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $486.00 / $639.94 / $841.50	Facility		$486.00	$639.94	$841.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $543.00 / $618.54 / $951.97	Professional		$543.00	$618.54	$951.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $467.54 / $649.76 / $722.93	Facility		$467.54	$649.76	$722.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $498.12 / $702.99 / $2,919.00	Facility		$498.12	$702.99	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $599.26 / $713.32 / $984.06	Professional		$599.26	$713.32	$984.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,364.17 / $10,171.54 / $12,117.15	Facility		$6,364.17	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $650.41 / $842.16 / $1,131.86	Professional		$650.41	$842.16	$1,131.86
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 $490.00 / $690.01 / $1,122.51	Professional		$490.00	$690.01	$1,122.51