Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.29 / $5,649.00 / $15,341.00	Facility		$603.29	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.52 / $361.19 / $1,335.38	Professional		$259.52	$361.19	$1,335.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $5,459.71	Facility		$2,310.00	$2,310.00	$5,459.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.05 / $568.22 / $800.47	Professional		$320.05	$568.22	$800.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $437.74 / $574.79 / $692.24	Professional		$437.74	$574.79	$692.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $315.98 / $550.91 / $845.07	Facility		$315.98	$550.91	$845.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $439.79 / $552.60 / $799.62	Professional		$439.79	$552.60	$799.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $435.57 / $533.23 / $610.37	Facility		$435.57	$533.23	$610.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $361.19 / $639.99 / $937.86	Facility		$361.19	$639.99	$937.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $475.02 / $615.29 / $791.73	Professional		$475.02	$615.29	$791.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,763.99 / $12,103.13 / $28,321.84	Facility		$8,763.99	$12,103.13	$28,321.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $500.02 / $635.33 / $853.89	Professional		$500.02	$635.33	$853.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $11,770.00 / $26,404.00	Facility		$1,895.00	$11,770.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $405.96 / $602.58 / $856.89	Professional		$405.96	$602.58	$856.89