Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.60 / $2,747.00 / $13,320.00	Facility		$553.60	$2,747.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.99 / $366.12 / $1,044.05	Professional		$233.99	$366.12	$1,044.05
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 $364.22 / $634.54 / $1,054.44	Professional		$364.22	$634.54	$1,054.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $528.27 / $665.66 / $952.04	Professional		$528.27	$665.66	$952.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $349.14 / $573.74 / $897.68	Facility		$349.14	$573.74	$897.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $412.38 / $620.71 / $884.05	Professional		$412.38	$620.71	$884.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $455.06 / $718.28 / $787.92	Facility		$455.06	$718.28	$787.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $349.14 / $573.74 / $1,091.28	Facility		$349.14	$573.74	$1,091.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $461.28 / $687.49 / $1,014.53	Professional		$461.28	$687.49	$1,014.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,364.17 / $9,638.43 / $12,117.15	Facility		$6,364.17	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $468.68 / $713.43 / $1,086.92	Professional		$468.68	$713.43	$1,086.92
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 $532.03 / $792.39 / $1,220.74	Professional		$532.03	$792.39	$1,220.74