Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.75 / $4,283.46 / $8,728.00	Facility		$417.75	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.78 / $281.22 / $817.74	Professional		$185.78	$281.22	$817.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $470.09 / $470.09 / $1,937.44	Facility		$470.09	$470.09	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.78 / $427.03 / $680.82	Professional		$241.78	$427.03	$680.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $359.16 / $482.22 / $618.63	Professional		$359.16	$482.22	$618.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $253.34 / $399.24 / $613.70	Facility		$253.34	$399.24	$613.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $304.23 / $406.58 / $613.21	Professional		$304.23	$406.58	$613.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $303.43 / $467.91 / $515.90	Facility		$303.43	$467.91	$515.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $254.22 / $411.50 / $663.31	Facility		$254.22	$411.50	$663.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $347.13 / $483.11 / $672.51	Professional		$347.13	$483.11	$672.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,245.03 / $1,561.00 / $2,059.69	Facility		$1,245.03	$1,561.00	$2,059.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $351.12 / $495.44 / $699.58	Professional		$351.12	$495.44	$699.58
United Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $1,078.00 / $5,183.00	Facility		$177.00	$1,078.00	$5,183.00
United Facility/Professional Professional Modifier Low / Median / High Price $358.50 / $501.90 / $806.81	Professional		$358.50	$501.90	$806.81