Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $7,943.28 / $13,803.84	Facility		$524.81	$7,943.28	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $1,096.48	Professional		$251.19	$371.54	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $5,011.87	Facility		$2,041.74	$2,041.74	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $478.63 / $724.44	Professional		$263.03	$478.63	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $660.69	Professional		$371.54	$512.86	$660.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $389.05 / $660.69	Facility		$263.03	$389.05	$660.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $467.74 / $660.69	Professional		$398.11	$467.74	$660.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $501.19 / $549.54	Facility		$407.38	$501.19	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $389.05 / $630.96	Facility		$251.19	$389.05	$630.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $524.81 / $724.44	Professional		$79.43	$524.81	$724.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $22,387.21	Facility		$13,803.84	$18,620.87	$22,387.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $562.34 / $724.44	Professional		$489.78	$562.34	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $9,549.93 / $22,387.21	Facility		$1,621.81	$9,549.93	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $501.19 / $724.44	Professional		$309.03	$501.19	$724.44