Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.78 / $4,283.46 / $8,728.00	Facility		$767.78	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.07 / $459.84 / $931.48	Professional		$307.07	$459.84	$931.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.44 / $658.29 / $996.97	Professional		$386.44	$658.29	$996.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $659.18 / $776.47 / $931.54	Professional		$659.18	$776.47	$931.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $447.39 / $606.24 / $813.45	Facility		$447.39	$606.24	$813.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $517.71 / $604.00 / $931.88	Professional		$517.71	$604.00	$931.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $462.21 / $639.17 / $706.85	Facility		$462.21	$639.17	$706.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $453.97 / $681.09 / $2,450.00	Facility		$453.97	$681.09	$2,450.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $580.79 / $696.83 / $962.81	Professional		$580.79	$696.83	$962.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $634.70 / $823.43 / $1,106.70	Professional		$634.70	$823.43	$1,106.70
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 $479.22 / $689.75 / $1,124.29	Professional		$479.22	$689.75	$1,124.29