Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.88 / $4,684.68 / $8,728.00	Facility		$801.88	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.02 / $446.03 / $981.01	Professional		$308.02	$446.03	$981.01
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 $367.52 / $682.58 / $1,018.58	Professional		$367.52	$682.58	$1,018.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $699.74 / $834.31 / $1,000.94	Professional		$699.74	$834.31	$1,000.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.03 / $628.30 / $822.80	Facility		$446.03	$628.30	$822.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $510.60 / $617.53 / $980.78	Professional		$510.60	$617.53	$980.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $460.76 / $637.16 / $740.35	Facility		$460.76	$637.16	$740.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $447.05 / $670.37 / $927.61	Facility		$447.05	$670.37	$927.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $567.62 / $716.04 / $994.52	Professional		$567.62	$716.04	$994.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,016.60	Facility		$3,820.30	$4,901.89	$6,016.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $625.53 / $862.45 / $1,152.13	Professional		$625.53	$862.45	$1,152.13
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $468.63 / $665.73 / $1,119.91	Professional		$468.63	$665.73	$1,119.91