Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.08 / $2,747.00 / $7,920.26	Facility		$612.08	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.78 / $372.26 / $891.36	Professional		$237.78	$372.26	$891.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.14 / $560.07 / $868.64	Professional		$317.14	$560.07	$868.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $556.54 / $683.79 / $794.77	Professional		$556.54	$683.79	$794.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $334.18 / $514.50 / $717.34	Facility		$334.18	$514.50	$717.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $414.84 / $520.38 / $842.76	Professional		$414.84	$520.38	$842.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $348.53 / $556.75 / $645.21	Facility		$348.53	$556.75	$645.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $333.18 / $529.19 / $955.03	Facility		$333.18	$529.19	$955.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $470.04 / $610.82 / $828.63	Professional		$470.04	$610.82	$828.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $509.86 / $692.50 / $897.28	Professional		$509.86	$692.50	$897.28
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 $396.24 / $589.57 / $1,007.51	Professional		$396.24	$589.57	$1,007.51