Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.26 / $4,962.67 / $15,341.00	Facility		$575.26	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.04 / $366.18 / $832.08	Professional		$239.04	$366.18	$832.08
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 $306.22 / $500.02 / $768.56	Professional		$306.22	$500.02	$768.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.52 / $576.33 / $691.44	Professional		$489.52	$576.33	$691.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $351.64 / $474.30 / $647.70	Facility		$351.64	$474.30	$647.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $404.43 / $459.38 / $689.07	Professional		$404.43	$459.38	$689.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $360.47 / $496.47 / $527.29	Facility		$360.47	$496.47	$527.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $360.34 / $532.03 / $2,919.00	Facility		$360.34	$532.03	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $449.83 / $527.67 / $717.02	Professional		$449.83	$527.67	$717.02
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 $477.26 / $614.25 / $825.56	Professional		$477.26	$614.25	$825.56
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 $355.67 / $524.29 / $799.08	Professional		$355.67	$524.29	$799.08