Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.46 / $2,799.29 / $8,728.00	Facility		$390.46	$2,799.29	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.97 / $300.01 / $995.42	Professional		$172.97	$300.01	$995.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.57 / $328.57 / $1,937.44	Facility		$328.57	$328.57	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.58 / $461.36 / $760.02	Professional		$264.58	$461.36	$760.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.62 / $515.20 / $705.70	Professional		$371.62	$515.20	$705.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $210.74 / $451.17 / $662.15	Facility		$210.74	$451.17	$662.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $313.60 / $444.28 / $697.08	Professional		$313.60	$444.28	$697.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $311.45 / $509.20 / $571.51	Facility		$311.45	$509.20	$571.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $227.60 / $458.10 / $732.82	Facility		$227.60	$458.10	$732.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $361.54 / $519.33 / $742.13	Professional		$361.54	$519.33	$742.13
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 $364.95 / $525.24 / $776.97	Professional		$364.95	$525.24	$776.97
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 $384.16 / $545.35 / $884.75	Professional		$384.16	$545.35	$884.75