Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.34 / $1,758.00 / $13,320.00	Facility		$539.34	$1,758.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.43 / $420.93 / $927.64	Professional		$255.43	$420.93	$927.64
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 $394.01 / $691.09 / $1,146.68	Professional		$394.01	$691.09	$1,146.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $578.82 / $731.29 / $1,035.32	Professional		$578.82	$731.29	$1,035.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $381.39 / $618.69 / $968.22	Facility		$381.39	$618.69	$968.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $448.34 / $673.55 / $959.29	Professional		$448.34	$673.55	$959.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $490.84 / $779.37 / $850.90	Facility		$490.84	$779.37	$850.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $381.39 / $618.69 / $1,167.18	Facility		$381.39	$618.69	$1,167.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $501.89 / $748.80 / $1,090.98	Professional		$501.89	$748.80	$1,090.98
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 $510.00 / $771.25 / $1,171.25	Professional		$510.00	$771.25	$1,171.25
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 $586.07 / $847.01 / $1,299.16	Professional		$586.07	$847.01	$1,299.16