Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.29 / $1,758.00 / $13,320.00	Facility		$536.29	$1,758.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.41 / $391.77 / $1,063.83	Professional		$255.41	$391.77	$1,063.83
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 $391.37 / $673.81 / $1,105.73	Professional		$391.37	$673.81	$1,105.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $567.25 / $715.14 / $998.35	Professional		$567.25	$715.14	$998.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $378.65 / $607.32 / $952.63	Facility		$378.65	$607.32	$952.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $446.02 / $654.33 / $926.61	Professional		$446.02	$654.33	$926.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $481.60 / $754.13 / $826.88	Facility		$481.60	$754.13	$826.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $378.65 / $607.32 / $1,166.26	Facility		$378.65	$607.32	$1,166.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $499.11 / $733.05 / $1,062.33	Professional		$499.11	$733.05	$1,062.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $495.08 / $751.37 / $1,149.32	Professional		$495.08	$751.37	$1,149.32
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 $587.01 / $826.61 / $1,290.50	Professional		$587.01	$826.61	$1,290.50