Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.83 / $4,283.46 / $8,728.00	Facility		$489.83	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.74 / $359.46 / $1,125.03	Professional		$217.74	$359.46	$1,125.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $385.93 / $385.93 / $1,664.70	Facility		$385.93	$385.93	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.52 / $537.54 / $935.29	Professional		$294.52	$537.54	$935.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $423.82 / $583.15 / $866.03	Professional		$423.82	$583.15	$866.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $324.39 / $522.90 / $795.27	Facility		$324.39	$522.90	$795.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $361.33 / $519.10 / $852.61	Professional		$361.33	$519.10	$852.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $390.20 / $599.22 / $711.54	Facility		$390.20	$599.22	$711.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $314.80 / $532.95 / $911.30	Facility		$314.80	$532.95	$911.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $414.73 / $600.53 / $922.88	Professional		$414.73	$600.53	$922.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,786.71 / $5,069.89 / $6,839.08	Facility		$3,786.71	$5,069.89	$6,839.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $417.28 / $630.09 / $954.21	Professional		$417.28	$630.09	$954.21
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 $467.88 / $686.55 / $1,100.23	Professional		$467.88	$686.55	$1,100.23