Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,072.60 / $15,341.00	Facility		$2,747.00	$6,072.60	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.27 / $328.51 / $467.65	Professional		$279.27	$328.51	$467.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,131.80 / $1,131.80 / $1,664.70	Facility		$1,131.80	$1,131.80	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.00 / $591.65 / $849.52	Professional		$325.00	$591.65	$849.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $486.99 / $640.17 / $792.72	Professional		$486.99	$640.17	$792.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.90 / $548.97 / $779.34	Facility		$416.90	$548.97	$779.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $644.98 / $1,167.16 / $1,967.04	Professional		$644.98	$1,167.16	$1,967.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $405.67 / $593.24 / $619.75	Facility		$405.67	$593.24	$619.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $390.53 / $586.79 / $884.56	Facility		$390.53	$586.79	$884.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $386.94 / $651.87 / $905.21	Professional		$386.94	$651.87	$905.21
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 $569.52 / $721.96 / $902.28	Professional		$569.52	$721.96	$902.28
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 $438.51 / $613.91 / $959.35	Professional		$438.51	$613.91	$959.35