Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.60 / $9,257.26 / $11,915.00	Facility		$613.60	$9,257.26	$11,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $438.29 / $1,272.00	Professional		$280.00	$438.29	$1,272.00
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 $316.39 / $565.86 / $799.20	Professional		$316.39	$565.86	$799.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $473.85 / $622.21 / $770.34	Professional		$473.85	$622.21	$770.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $321.93 / $534.15 / $821.01	Facility		$321.93	$534.15	$821.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $447.78 / $514.60 / $869.37	Professional		$447.78	$514.60	$869.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $403.10 / $553.41 / $592.95	Facility		$403.10	$553.41	$592.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $356.05 / $623.66 / $1,019.67	Facility		$356.05	$623.66	$1,019.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $488.31 / $631.60 / $809.42	Professional		$488.31	$631.60	$809.42
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 $538.76 / $688.01 / $856.96	Professional		$538.76	$688.01	$856.96
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 $421.26 / $604.79 / $931.97	Professional		$421.26	$604.79	$931.97