Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.56 / $4,962.67 / $15,341.00	Facility		$362.56	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.43 / $253.59 / $616.63	Professional		$153.43	$253.59	$616.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $2,400.80	Facility		$2,310.00	$2,310.00	$2,400.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.33 / $411.21 / $820.20	Professional		$225.33	$411.21	$820.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $315.37 / $463.35 / $763.50	Professional		$315.37	$463.35	$763.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $215.35 / $383.94 / $680.78	Facility		$215.35	$383.94	$680.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $259.26 / $417.60 / $743.98	Professional		$259.26	$417.60	$743.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $283.83 / $505.71 / $628.46	Facility		$283.83	$505.71	$628.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $219.40 / $445.21 / $810.05	Facility		$219.40	$445.21	$810.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $300.80 / $461.79 / $807.12	Professional		$300.80	$461.79	$807.12
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 $302.92 / $502.37 / $848.57	Professional		$302.92	$502.37	$848.57
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 $395.56 / $538.67 / $978.00	Professional		$395.56	$538.67	$978.00