Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.58 / $3,213.00 / $8,728.00	Facility		$361.58	$3,213.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.21 / $438.67 / $1,201.51	Professional		$136.21	$438.67	$1,201.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.56 / $283.56 / $283.56	Facility		$283.56	$283.56	$283.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.61 / $578.17 / $1,878.53	Professional		$255.61	$578.17	$1,878.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.77 / $452.63 / $1,680.03	Professional		$331.77	$452.63	$1,680.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $211.39 / $640.32 / $1,627.26	Facility		$211.39	$640.32	$1,627.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $279.63 / $686.41 / $2,042.25	Professional		$279.63	$686.41	$2,042.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $317.55 / $1,234.63 / $1,392.93	Facility		$317.55	$1,234.63	$1,392.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $219.19 / $747.02 / $1,820.89	Facility		$219.19	$747.02	$1,820.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $312.26 / $870.68 / $1,921.11	Professional		$312.26	$870.68	$1,921.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,160.13 / $5,084.13 / $6,738.85	Facility		$3,160.13	$5,084.13	$6,738.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $316.70 / $854.42 / $1,892.11	Professional		$316.70	$854.42	$1,892.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $5,130.00 / $7,385.00	Facility		$2,364.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $711.92 / $1,280.46 / $2,111.84	Professional		$711.92	$1,280.46	$2,111.84