Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.81 / $2,747.00 / $13,320.00	Facility		$404.81	$2,747.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.44 / $345.45 / $926.87	Professional		$178.44	$345.45	$926.87
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 $280.43 / $494.66 / $903.15	Professional		$280.43	$494.66	$903.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $388.07 / $495.55 / $815.43	Professional		$388.07	$495.55	$815.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.45 / $494.77 / $801.90	Facility		$257.45	$494.77	$801.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $303.92 / $550.79 / $778.99	Professional		$303.92	$550.79	$778.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $352.64 / $619.30 / $675.36	Facility		$352.64	$619.30	$675.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.45 / $494.77 / $970.03	Facility		$257.45	$494.77	$970.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $339.95 / $542.83 / $859.57	Professional		$339.95	$542.83	$859.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $348.95 / $579.04 / $927.60	Professional		$348.95	$579.04	$927.60
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 $472.96 / $681.10 / $1,031.88	Professional		$472.96	$681.10	$1,031.88