Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.02 / $3,060.00 / $8,728.00	Facility		$304.02	$3,060.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.40 / $260.85 / $788.80	Professional		$122.40	$260.85	$788.80
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 $206.07 / $368.44 / $844.99	Professional		$206.07	$368.44	$844.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.88 / $386.23 / $766.70	Professional		$262.88	$386.23	$766.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.96 / $344.67 / $699.94	Facility		$186.96	$344.67	$699.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $224.17 / $419.73 / $752.05	Professional		$224.17	$419.73	$752.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $261.30 / $511.06 / $632.48	Facility		$261.30	$511.06	$632.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $189.67 / $400.89 / $833.18	Facility		$189.67	$400.89	$833.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $259.38 / $422.07 / $816.93	Professional		$259.38	$422.07	$816.93
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 $261.02 / $491.65 / $863.03	Professional		$261.02	$491.65	$863.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $8,336.14 / $12,786.00	Facility		$1,533.00	$8,336.14	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $411.11 / $566.62 / $983.16	Professional		$411.11	$566.62	$983.16