Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.37 / $3,925.18 / $15,341.00	Facility		$510.37	$3,925.18	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.98 / $388.52 / $1,055.57	Professional		$255.98	$388.52	$1,055.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $5,022.74	Facility		$2,310.00	$2,310.00	$5,022.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.83 / $562.03 / $881.68	Professional		$321.83	$562.03	$881.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $492.22 / $624.25 / $796.06	Professional		$492.22	$624.25	$796.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $333.72 / $527.79 / $835.32	Facility		$333.72	$527.79	$835.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $417.37 / $534.76 / $829.68	Professional		$417.37	$534.76	$829.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $426.56 / $608.14 / $667.32	Facility		$426.56	$608.14	$667.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.45 / $569.94 / $910.79	Facility		$346.45	$569.94	$910.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $476.78 / $645.04 / $871.93	Professional		$476.78	$645.04	$871.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,493.64 / $18,246.18 / $21,922.68	Facility		$13,493.64	$18,246.18	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $488.78 / $646.51 / $904.80	Professional		$488.78	$646.51	$904.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $467.00 / $653.80 / $1,033.91	Professional		$467.00	$653.80	$1,033.91