Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.29 / $2,747.00 / $13,320.00	Facility		$588.29	$2,747.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.52 / $405.41 / $1,080.93	Professional		$247.52	$405.41	$1,080.93
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 $378.93 / $668.34 / $1,091.74	Professional		$378.93	$668.34	$1,091.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $559.04 / $705.09 / $985.73	Professional		$559.04	$705.09	$985.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $374.74 / $601.89 / $942.23	Facility		$374.74	$601.89	$942.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $439.64 / $641.52 / $913.68	Professional		$439.64	$641.52	$913.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $479.18 / $744.49 / $818.72	Facility		$479.18	$744.49	$818.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $374.74 / $601.89 / $1,143.11	Facility		$374.74	$601.89	$1,143.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $491.45 / $725.11 / $1,053.50	Professional		$491.45	$725.11	$1,053.50
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 $492.80 / $744.73 / $1,141.74	Professional		$492.80	$744.73	$1,141.74
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 $572.16 / $822.48 / $1,248.38	Professional		$572.16	$822.48	$1,248.38