Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.94 / $2,747.00 / $13,320.00	Facility		$621.94	$2,747.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.76 / $396.42 / $902.39	Professional		$276.76	$396.42	$902.39
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 $362.13 / $600.16 / $866.35	Professional		$362.13	$600.16	$866.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $552.83 / $681.82 / $779.08	Professional		$552.83	$681.82	$779.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $396.42 / $574.77 / $798.15	Facility		$396.42	$574.77	$798.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $469.80 / $546.25 / $831.31	Professional		$469.80	$546.25	$831.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $434.50 / $601.77 / $639.85	Facility		$434.50	$601.77	$639.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $396.42 / $596.77 / $968.12	Facility		$396.42	$596.77	$968.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $518.10 / $613.14 / $838.82	Professional		$518.10	$613.14	$838.82
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 $524.98 / $693.75 / $887.81	Professional		$524.98	$693.75	$887.81
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 $434.70 / $640.84 / $970.72	Professional		$434.70	$640.84	$970.72