Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.23 / $4,704.00 / $8,728.00	Facility		$500.23	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.82 / $311.08 / $988.98	Professional		$211.82	$311.08	$988.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,089.75 / $1,089.75 / $2,059.63	Facility		$1,089.75	$1,089.75	$2,059.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.62 / $457.84 / $657.06	Professional		$279.62	$457.84	$657.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $361.95 / $475.27 / $580.54	Professional		$361.95	$475.27	$580.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.16 / $368.27 / $742.76	Facility		$234.16	$368.27	$742.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $362.39 / $421.69 / $720.39	Professional		$362.39	$421.69	$720.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.02 / $440.92 / $453.56	Facility		$316.02	$440.92	$453.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $249.39 / $537.21 / $778.86	Facility		$249.39	$537.21	$778.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $394.10 / $496.50 / $644.59	Professional		$394.10	$496.50	$644.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,830.49 / $3,730.83 / $4,417.60	Facility		$2,830.49	$3,730.83	$4,417.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $413.30 / $527.62 / $695.25	Professional		$413.30	$527.62	$695.25
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 $337.62 / $476.63 / $701.38	Professional		$337.62	$476.63	$701.38