Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $527.89 / $9,826.95 / $20,400.00	Facility		$527.89	$9,826.95	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.83 / $369.62 / $1,134.00	Professional		$239.83	$369.62	$1,134.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.63 / $2,059.63 / $5,022.74	Facility		$2,059.63	$2,059.63	$5,022.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.23 / $513.99 / $730.69	Professional		$284.23	$513.99	$730.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $439.40 / $576.97 / $718.05	Professional		$439.40	$576.97	$718.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $296.06 / $495.32 / $672.97	Facility		$296.06	$495.32	$672.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $406.98 / $466.24 / $802.56	Professional		$406.98	$466.24	$802.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $365.80 / $505.85 / $547.39	Facility		$365.80	$505.85	$547.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $327.27 / $565.01 / $941.31	Facility		$327.27	$565.01	$941.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $442.39 / $580.79 / $745.20	Professional		$442.39	$580.79	$745.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $19,116.02 / $21,922.68	Facility		$13,671.70	$19,116.02	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $498.17 / $634.40 / $777.65	Professional		$498.17	$634.40	$777.65
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 $375.99 / $534.47 / $839.17	Professional		$375.99	$534.47	$839.17