Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,629.40 / $8,728.00	Facility		$2,747.00	$6,629.40	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.44 / $263.02 / $374.43	Professional		$223.44	$263.02	$374.43
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 $275.00 / $473.78 / $680.39	Professional		$275.00	$473.78	$680.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $512.04 / $634.05	Professional		$389.05	$512.04	$634.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $333.19 / $438.56 / $623.99	Facility		$333.19	$438.56	$623.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.83 / $516.07 / $3,890.51	Professional		$87.83	$516.07	$3,890.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $297.48 / $473.93 / $495.80	Facility		$297.48	$473.93	$495.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $312.45 / $466.86 / $686.27	Facility		$312.45	$466.86	$686.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $332.96 / $521.91 / $724.16	Professional		$332.96	$521.91	$724.16
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 $455.73 / $577.57 / $722.03	Professional		$455.73	$577.57	$722.03
United Facility/Professional Facility Modifier Low / Median / High Price $365.00 / $9,074.00 / $12,113.00	Facility		$365.00	$9,074.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $357.51 / $521.28 / $788.34	Professional		$357.51	$521.28	$788.34