Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.89 / $3,213.00 / $8,728.00	Facility		$481.89	$3,213.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.15 / $326.42 / $835.07	Professional		$214.15	$326.42	$835.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,937.44 / $1,937.44 / $2,400.80	Facility		$1,937.44	$1,937.44	$2,400.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.45 / $539.29 / $907.28	Professional		$298.45	$539.29	$907.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.43 / $578.60 / $820.99	Professional		$416.43	$578.60	$820.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $303.77 / $533.46 / $837.16	Facility		$303.77	$533.46	$837.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $352.64 / $528.29 / $807.05	Professional		$352.64	$528.29	$807.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $378.16 / $614.22 / $674.02	Facility		$378.16	$614.22	$674.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $304.55 / $536.80 / $936.71	Facility		$304.55	$536.80	$936.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.88 / $601.75 / $884.40	Professional		$407.88	$601.75	$884.40
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 $413.58 / $621.79 / $916.66	Professional		$413.58	$621.79	$916.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $670.15 / $1,055.21	Professional		$475.00	$670.15	$1,055.21