Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.59 / $4,283.46 / $8,728.00	Facility		$491.59	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.09 / $350.04 / $1,054.22	Professional		$220.09	$350.04	$1,054.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,131.80 / $1,131.80 / $1,937.44	Facility		$1,131.80	$1,131.80	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.32 / $550.14 / $894.44	Professional		$318.32	$550.14	$894.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $432.26 / $595.58 / $815.31	Professional		$432.26	$595.58	$815.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $315.47 / $524.66 / $886.55	Facility		$315.47	$524.66	$886.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $381.48 / $557.94 / $804.63	Professional		$381.48	$557.94	$804.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $388.65 / $645.21 / $730.32	Facility		$388.65	$645.21	$730.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $315.57 / $555.39 / $1,006.13	Facility		$315.57	$555.39	$1,006.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $420.48 / $616.88 / $875.76	Professional		$420.48	$616.88	$875.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,539.74 / $4,743.41 / $5,709.03	Facility		$3,539.74	$4,743.41	$5,709.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $425.34 / $622.51 / $895.24	Professional		$425.34	$622.51	$895.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $486.64 / $713.29 / $1,037.14	Professional		$486.64	$713.29	$1,037.14