Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $736.28 / $4,704.00 / $8,728.00	Facility		$736.28	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.55 / $454.69 / $1,327.50	Professional		$312.55	$454.69	$1,327.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,908.14 / $1,908.14 / $1,937.44	Facility		$1,908.14	$1,908.14	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.89 / $647.62 / $925.97	Professional		$351.89	$647.62	$925.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $533.48 / $700.51 / $862.27	Professional		$533.48	$700.51	$862.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $365.97 / $628.00 / $957.07	Facility		$365.97	$628.00	$957.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $520.71 / $602.28 / $982.32	Professional		$520.71	$602.28	$982.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $472.87 / $640.52 / $670.00	Facility		$472.87	$640.52	$670.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.54 / $728.71 / $1,152.17	Facility		$398.54	$728.71	$1,152.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $565.22 / $717.06 / $930.86	Professional		$565.22	$717.06	$930.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,539.74 / $4,743.41 / $5,709.03	Facility		$3,539.74	$4,743.41	$5,709.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $611.34 / $776.50 / $941.82	Professional		$611.34	$776.50	$941.82
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 $481.07 / $669.21 / $1,037.47	Professional		$481.07	$669.21	$1,037.47