Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.66 / $4,704.00 / $8,728.00	Facility		$463.66	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.73 / $293.99 / $721.72	Professional		$181.73	$293.99	$721.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.71 / $842.71 / $1,937.44	Facility		$842.71	$842.71	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.46 / $410.90 / $590.65	Professional		$253.46	$410.90	$590.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.83 / $444.91 / $550.23	Professional		$338.83	$444.91	$550.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $220.88 / $372.24 / $556.29	Facility		$220.88	$372.24	$556.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $307.83 / $366.24 / $630.66	Professional		$307.83	$366.24	$630.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $266.76 / $390.61 / $430.14	Facility		$266.76	$390.61	$430.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.18 / $408.19 / $686.56	Facility		$229.18	$408.19	$686.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $349.80 / $460.50 / $597.85	Professional		$349.80	$460.50	$597.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,153.07 / $2,839.75 / $3,421.41	Facility		$2,153.07	$2,839.75	$3,421.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $392.39 / $499.97 / $604.51	Professional		$392.39	$499.97	$604.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.00 / $2,261.00 / $4,911.00	Facility		$1,096.00	$2,261.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $284.23 / $423.66 / $665.90	Professional		$284.23	$423.66	$665.90