Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.99 / $4,283.46 / $8,728.00	Facility		$444.99	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.22 / $359.49 / $1,048.29	Professional		$194.22	$359.49	$1,048.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.38 / $434.38 / $1,664.70	Facility		$434.38	$434.38	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $493.37 / $951.23	Professional		$270.00	$493.37	$951.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $388.43 / $570.70 / $877.17	Professional		$388.43	$570.70	$877.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $247.97 / $459.00 / $790.31	Facility		$247.97	$459.00	$790.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $314.36 / $490.92 / $842.92	Professional		$314.36	$490.92	$842.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $334.40 / $588.72 / $715.56	Facility		$334.40	$588.72	$715.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $250.09 / $483.69 / $919.03	Facility		$250.09	$483.69	$919.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $373.81 / $555.98 / $919.03	Professional		$373.81	$555.98	$919.03
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 $373.76 / $571.34 / $947.49	Professional		$373.76	$571.34	$947.49
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 $472.83 / $681.73 / $1,139.43	Professional		$472.83	$681.73	$1,139.43