Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.10 / $4,283.46 / $8,728.00	Facility		$505.10	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.78 / $352.91 / $853.41	Professional		$204.78	$352.91	$853.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,089.75 / $1,089.75 / $1,937.44	Facility		$1,089.75	$1,089.75	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.30 / $543.54 / $945.59	Professional		$304.30	$543.54	$945.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.24 / $600.62 / $868.44	Professional		$436.24	$600.62	$868.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $314.77 / $539.95 / $818.55	Facility		$314.77	$539.95	$818.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $372.01 / $541.45 / $864.45	Professional		$372.01	$541.45	$864.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $625.78 / $712.21	Facility		$384.00	$625.78	$712.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.14 / $555.90 / $910.44	Facility		$316.14	$555.90	$910.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $431.71 / $631.12 / $923.07	Professional		$431.71	$631.12	$923.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,830.49 / $3,876.82 / $4,673.63	Facility		$2,830.49	$3,876.82	$4,673.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $437.12 / $649.98 / $974.12	Professional		$437.12	$649.98	$974.12
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 $475.20 / $693.01 / $1,099.19	Professional		$475.20	$693.01	$1,099.19