Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.58 / $4,962.67 / $15,341.00	Facility		$537.58	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.54 / $360.49 / $1,012.60	Professional		$207.54	$360.49	$1,012.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $2,406.86	Facility		$2,310.00	$2,310.00	$2,406.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.62 / $547.94 / $929.00	Professional		$302.62	$547.94	$929.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $466.80 / $646.91 / $859.06	Professional		$466.80	$646.91	$859.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $266.73 / $536.89 / $784.88	Facility		$266.73	$536.89	$784.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $379.32 / $505.69 / $862.20	Professional		$379.32	$505.69	$862.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $373.05 / $576.47 / $705.51	Facility		$373.05	$576.47	$705.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $287.18 / $544.03 / $899.29	Facility		$287.18	$544.03	$899.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $442.50 / $625.70 / $905.54	Professional		$442.50	$625.70	$905.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,607.31 / $8,780.14 / $10,511.02	Facility		$6,607.31	$8,780.14	$10,511.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $456.94 / $645.76 / $945.43	Professional		$456.94	$645.76	$945.43
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 $432.49 / $623.09 / $1,085.73	Professional		$432.49	$623.09	$1,085.73