Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.83 / $4,704.00 / $8,728.00	Facility		$504.83	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.81 / $314.27 / $998.90	Professional		$213.81	$314.27	$998.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.71 / $842.71 / $2,059.63	Facility		$842.71	$842.71	$2,059.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.12 / $461.98 / $662.90	Professional		$282.12	$461.98	$662.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $365.23 / $479.58 / $585.79	Professional		$365.23	$479.58	$585.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $236.28 / $371.60 / $750.26	Facility		$236.28	$371.60	$750.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $365.59 / $432.14 / $726.75	Professional		$365.59	$432.14	$726.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $320.07 / $444.92 / $458.32	Facility		$320.07	$444.92	$458.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.73 / $542.03 / $785.78	Facility		$251.73	$542.03	$785.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.06 / $501.00 / $650.42	Professional		$398.06	$501.00	$650.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,153.07 / $2,975.12 / $3,619.70	Facility		$2,153.07	$2,975.12	$3,619.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $416.99 / $532.29 / $701.43	Professional		$416.99	$532.29	$701.43
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 $340.68 / $480.94 / $714.63	Professional		$340.68	$480.94	$714.63