Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.42 / $4,283.46 / $8,728.00	Facility		$400.42	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.80 / $267.06 / $714.73	Professional		$160.80	$267.06	$714.73
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 $240.41 / $426.02 / $699.48	Professional		$240.41	$426.02	$699.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $343.66 / $474.49 / $635.12	Professional		$343.66	$474.49	$635.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $243.77 / $409.71 / $629.00	Facility		$243.77	$409.71	$629.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $290.88 / $413.54 / $627.60	Professional		$290.88	$413.54	$627.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $293.86 / $477.71 / $528.63	Facility		$293.86	$477.71	$528.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.66 / $417.44 / $679.62	Facility		$245.66	$417.44	$679.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $333.20 / $480.80 / $688.25	Professional		$333.20	$480.80	$688.25
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 $335.83 / $487.10 / $716.00	Professional		$335.83	$487.10	$716.00
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 $349.31 / $511.69 / $820.52	Professional		$349.31	$511.69	$820.52