Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.31 / $4,962.67 / $15,341.00	Facility		$488.31	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.22 / $354.92 / $841.52	Professional		$245.22	$354.92	$841.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $2,400.80	Facility		$2,310.00	$2,310.00	$2,400.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.00 / $575.79 / $923.52	Professional		$325.00	$575.79	$923.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.75 / $645.92 / $833.82	Professional		$467.75	$645.92	$833.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $328.59 / $537.53 / $838.28	Facility		$328.59	$537.53	$838.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $395.76 / $542.26 / $821.60	Professional		$395.76	$542.26	$821.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $384.71 / $629.85 / $684.07	Facility		$384.71	$629.85	$684.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $328.59 / $562.52 / $939.48	Facility		$328.59	$562.52	$939.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $455.93 / $639.54 / $892.32	Professional		$455.93	$639.54	$892.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,721.75 / $12,052.68	Facility		$7,382.73	$9,721.75	$12,052.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $471.68 / $649.07 / $924.87	Professional		$471.68	$649.07	$924.87
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 $478.50 / $678.29 / $1,059.83	Professional		$478.50	$678.29	$1,059.83