Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.72 / $4,283.46 / $8,728.00	Facility		$391.72	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.62 / $247.04 / $612.73	Professional		$151.62	$247.04	$612.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,937.44 / $1,937.44 / $2,406.86	Facility		$1,937.44	$1,937.44	$2,406.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.34 / $350.03 / $494.74	Professional		$214.34	$350.03	$494.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $289.35 / $379.94 / $470.91	Professional		$289.35	$379.94	$470.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $195.32 / $311.37 / $456.32	Facility		$195.32	$311.37	$456.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $259.08 / $312.45 / $535.65	Professional		$259.08	$312.45	$535.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $235.20 / $332.09 / $365.15	Facility		$235.20	$332.09	$365.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $211.06 / $353.52 / $627.92	Facility		$211.06	$353.52	$627.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $295.64 / $387.90 / $500.48	Professional		$295.64	$387.90	$500.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,607.31 / $9,198.70 / $11,120.17	Facility		$6,607.31	$9,198.70	$11,120.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $330.89 / $423.19 / $519.12	Professional		$330.89	$423.19	$519.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $258.57 / $365.23 / $595.29	Professional		$258.57	$365.23	$595.29