Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.27 / $4,962.67 / $15,341.00	Facility		$505.27	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.49 / $311.19 / $761.12	Professional		$216.49	$311.19	$761.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,131.80 / $1,131.80 / $2,310.00	Facility		$1,131.80	$1,131.80	$2,310.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.87 / $515.99 / $815.82	Professional		$295.87	$515.99	$815.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $433.69 / $580.46 / $742.39	Professional		$433.69	$580.46	$742.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $290.02 / $476.07 / $736.20	Facility		$290.02	$476.07	$736.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $367.74 / $489.95 / $742.35	Professional		$367.74	$489.95	$742.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $353.07 / $564.39 / $617.07	Facility		$353.07	$564.39	$617.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $300.79 / $516.75 / $838.59	Facility		$300.79	$516.75	$838.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $421.47 / $580.36 / $798.05	Professional		$421.47	$580.36	$798.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,786.71 / $5,069.89 / $6,839.08	Facility		$3,786.71	$5,069.89	$6,839.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $430.73 / $594.30 / $825.70	Professional		$430.73	$594.30	$825.70
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 $408.68 / $637.14 / $1,018.96	Professional		$408.68	$637.14	$1,018.96