Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.61 / $4,704.00 / $8,728.00	Facility		$570.61	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.44 / $353.95 / $1,128.18	Professional		$241.44	$353.95	$1,128.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.63 / $2,059.63 / $4,655.87	Facility		$2,059.63	$2,059.63	$4,655.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.24 / $507.54 / $733.01	Professional		$289.24	$507.54	$733.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $411.36 / $540.16 / $659.48	Professional		$411.36	$540.16	$659.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $266.12 / $423.38 / $845.68	Facility		$266.12	$423.38	$845.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $411.49 / $478.83 / $818.00	Professional		$411.49	$478.83	$818.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $358.79 / $501.11 / $516.12	Facility		$358.79	$501.11	$516.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $284.33 / $605.51 / $887.17	Facility		$284.33	$605.51	$887.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $437.73 / $563.33 / $736.12	Professional		$437.73	$563.33	$736.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,475.25 / $17,909.58 / $21,335.22	Facility		$13,475.25	$17,909.58	$21,335.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $471.73 / $600.99 / $787.95	Professional		$471.73	$600.99	$787.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $5,130.00 / $18,094.95	Facility		$1,472.00	$5,130.00	$18,094.95
United Facility/Professional Professional Modifier Low / Median / High Price $381.48 / $541.67 / $808.40	Professional		$381.48	$541.67	$808.40