Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.88 / $8,369.76 / $30,593.00	Facility		$434.88	$8,369.76	$30,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.53 / $268.22 / $560.14	Professional		$184.53	$268.22	$560.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $2,400.80	Facility		$1,664.70	$1,664.70	$2,400.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.88 / $383.87 / $532.04	Professional		$221.88	$383.87	$532.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $318.58 / $418.32 / $522.84	Professional		$318.58	$418.32	$522.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $215.90 / $358.56 / $536.85	Facility		$215.90	$358.56	$536.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $294.77 / $339.14 / $582.51	Professional		$294.77	$339.14	$582.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $262.60 / $363.14 / $397.31	Facility		$262.60	$363.14	$397.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.20 / $405.40 / $683.24	Facility		$234.20	$405.40	$683.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $321.58 / $418.94 / $539.12	Professional		$321.58	$418.94	$539.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $10,185.20 / $12,751.18	Facility		$7,382.73	$10,185.20	$12,751.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $359.36 / $460.24 / $558.26	Professional		$359.36	$460.24	$558.26
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 $275.39 / $398.78 / $607.10	Professional		$275.39	$398.78	$607.10