Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.29 / $4,962.67 / $15,341.00	Facility		$762.29	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.64 / $453.12 / $1,104.20	Professional		$302.64	$453.12	$1,104.20
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 $380.12 / $653.92 / $990.80	Professional		$380.12	$653.92	$990.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $654.95 / $771.60 / $925.70	Professional		$654.95	$771.60	$925.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $447.87 / $596.16 / $813.45	Facility		$447.87	$596.16	$813.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $509.49 / $600.02 / $925.75	Professional		$509.49	$600.02	$925.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $449.13 / $629.45 / $702.83	Facility		$449.13	$629.45	$702.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $453.12 / $671.84 / $2,919.00	Facility		$453.12	$671.84	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $572.16 / $691.84 / $955.42	Professional		$572.16	$691.84	$955.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $630.77 / $818.74 / $1,100.40	Professional		$630.77	$818.74	$1,100.40
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 $466.08 / $695.24 / $1,047.13	Professional		$466.08	$695.24	$1,047.13