Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.22 / $3,647.60 / $13,746.00	Facility		$712.22	$3,647.60	$13,746.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.73 / $395.02 / $852.77	Professional		$286.73	$395.02	$852.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.64 / $615.29 / $920.84	Professional		$356.64	$615.29	$920.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $612.11 / $721.95 / $866.14	Professional		$612.11	$721.95	$866.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $415.25 / $560.88 / $761.60	Facility		$415.25	$560.88	$761.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $478.89 / $558.71 / $919.47	Professional		$478.89	$558.71	$919.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $431.69 / $596.97 / $653.91	Facility		$431.69	$596.97	$653.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $422.77 / $633.77 / $5,949.00	Facility		$422.77	$633.77	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $537.51 / $643.47 / $890.74	Professional		$537.51	$643.47	$890.74
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 $586.22 / $761.77 / $1,023.82	Professional		$586.22	$761.77	$1,023.82
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 $432.00 / $639.01 / $998.70	Professional		$432.00	$639.01	$998.70