Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.72 / $2,747.00 / $13,320.00	Facility		$346.72	$2,747.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.91 / $445.42 / $700.19	Professional		$244.91	$445.42	$700.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.55 / $587.64 / $912.68	Professional		$317.55	$587.64	$912.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $291.64 / $364.51 / $593.37	Professional		$291.64	$364.51	$593.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $292.31 / $630.91 / $1,056.41	Facility		$292.31	$630.91	$1,056.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.12 / $534.17 / $806.52	Professional		$245.12	$534.17	$806.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $400.66 / $588.13 / $863.63	Facility		$400.66	$588.13	$863.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $321.98 / $630.91 / $1,220.86	Facility		$321.98	$630.91	$1,220.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.75 / $557.01 / $903.37	Professional		$269.75	$557.01	$903.37
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 $268.67 / $475.84 / $863.91	Professional		$268.67	$475.84	$863.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $612.47 / $813.27 / $1,135.63	Professional		$612.47	$813.27	$1,135.63