Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.44 / $4,283.46 / $8,728.00	Facility		$290.44	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.71 / $301.67 / $783.60	Professional		$132.71	$301.67	$783.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $2,341.30	Facility		$1,487.79	$1,487.79	$2,341.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.18 / $363.88 / $813.87	Professional		$206.18	$363.88	$813.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $249.86 / $367.10 / $742.27	Professional		$249.86	$367.10	$742.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $192.73 / $347.65 / $815.96	Facility		$192.73	$347.65	$815.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $224.16 / $437.16 / $786.89	Professional		$224.16	$437.16	$786.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $262.64 / $545.38 / $619.63	Facility		$262.64	$545.38	$619.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.78 / $431.68 / $819.40	Facility		$200.78	$431.68	$819.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.55 / $407.55 / $790.83	Professional		$251.55	$407.55	$790.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,389.68 / $5,951.19 / $7,123.24	Facility		$4,389.68	$5,951.19	$7,123.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $252.49 / $505.31 / $827.01	Professional		$252.49	$505.31	$827.01
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 $430.92 / $621.04 / $941.71	Professional		$430.92	$621.04	$941.71