Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.71 / $4,283.46 / $8,728.00	Facility		$442.71	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.40 / $324.08 / $836.25	Professional		$166.40	$324.08	$836.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $422.14 / $422.14 / $1,937.44	Facility		$422.14	$422.14	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.30 / $479.98 / $837.22	Professional		$262.30	$479.98	$837.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.51 / $524.67 / $757.82	Professional		$371.51	$524.67	$757.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $214.18 / $429.24 / $696.79	Facility		$214.18	$429.24	$696.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $429.00 / $733.45	Professional		$288.83	$429.00	$733.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $289.88 / $498.67 / $617.74	Facility		$289.88	$498.67	$617.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $219.64 / $451.42 / $804.90	Facility		$219.64	$451.42	$804.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $361.97 / $530.12 / $809.48	Professional		$361.97	$530.12	$809.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,709.94 / $4,969.54 / $6,039.89	Facility		$3,709.94	$4,969.54	$6,039.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $374.44 / $560.91 / $825.44	Professional		$374.44	$560.91	$825.44
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 $378.84 / $565.13 / $971.76	Professional		$378.84	$565.13	$971.76