Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.58 / $5,649.00 / $15,341.00	Facility		$619.58	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.50 / $384.49 / $794.44	Professional		$271.50	$384.49	$794.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $2,310.00	Facility		$1,487.79	$1,487.79	$2,310.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.00 / $565.28 / $796.51	Professional		$325.00	$565.28	$796.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $447.63 / $587.78 / $717.32	Professional		$447.63	$587.78	$717.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $317.97 / $546.48 / $837.67	Facility		$317.97	$546.48	$837.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $447.79 / $518.32 / $820.23	Professional		$447.79	$518.32	$820.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $412.05 / $545.29 / $580.89	Facility		$412.05	$545.29	$580.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $353.68 / $643.79 / $962.06	Facility		$353.68	$643.79	$962.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $476.26 / $609.54 / $798.43	Professional		$476.26	$609.54	$798.43
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 $511.71 / $651.72 / $861.08	Professional		$511.71	$651.72	$861.08
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 $418.19 / $603.51 / $876.92	Professional		$418.19	$603.51	$876.92