Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.57 / $7,920.26 / $30,593.00	Facility		$360.57	$7,920.26	$30,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $250.28 / $720.04	Professional		$156.72	$250.28	$720.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $5,022.74	Facility		$1,664.70	$1,664.70	$5,022.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.65 / $384.33 / $612.65	Professional		$212.65	$384.33	$612.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $311.17 / $429.09 / $553.16	Professional		$311.17	$429.09	$553.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.53 / $362.82 / $538.10	Facility		$213.53	$362.82	$538.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $252.88 / $345.53 / $545.04	Professional		$252.88	$345.53	$545.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $253.27 / $394.63 / $451.58	Facility		$253.27	$394.63	$451.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.53 / $362.82 / $580.92	Facility		$213.53	$362.82	$580.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $299.25 / $423.75 / $588.99	Professional		$299.25	$423.75	$588.99
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 $310.81 / $433.25 / $615.66	Professional		$310.81	$433.25	$615.66
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 $269.04 / $438.38 / $706.61	Professional		$269.04	$438.38	$706.61