Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.82 / $4,704.00 / $8,728.00	Facility		$727.82	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.08 / $461.11 / $1,158.34	Professional		$295.08	$461.11	$1,158.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,689.12 / $1,689.12 / $1,937.44	Facility		$1,689.12	$1,689.12	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.40 / $638.76 / $918.91	Professional		$329.40	$638.76	$918.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $534.99 / $702.50 / $872.55	Professional		$534.99	$702.50	$872.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.33 / $603.08 / $898.76	Facility		$371.33	$603.08	$898.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $501.33 / $587.42 / $994.11	Professional		$501.33	$587.42	$994.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $456.88 / $631.80 / $678.04	Facility		$456.88	$631.80	$678.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $396.24 / $655.75 / $898.76	Facility		$396.24	$655.75	$898.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $544.50 / $720.28 / $929.32	Professional		$544.50	$720.28	$929.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $6,178.58 / $7,222.39	Facility		$4,573.85	$6,178.58	$7,222.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $614.41 / $785.82 / $971.29	Professional		$614.41	$785.82	$971.29
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 $471.50 / $666.40 / $1,034.95	Professional		$471.50	$666.40	$1,034.95