Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.34 / $8,369.76 / $30,593.00	Facility		$720.34	$8,369.76	$30,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.82 / $429.74 / $1,591.82	Professional		$302.82	$429.74	$1,591.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $3,678.08	Facility		$1,664.70	$1,664.70	$3,678.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.00 / $640.99 / $916.59	Professional		$359.00	$640.99	$916.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $520.10 / $682.94 / $818.99	Professional		$520.10	$682.94	$818.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $376.59 / $664.16 / $998.72	Facility		$376.59	$664.16	$998.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $523.04 / $636.00 / $953.85	Professional		$523.04	$636.00	$953.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $513.57 / $633.58 / $720.25	Facility		$513.57	$633.58	$720.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $429.74 / $766.87 / $1,118.75	Facility		$429.74	$766.87	$1,118.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $551.70 / $720.92 / $922.45	Professional		$551.70	$720.92	$922.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,763.99 / $12,103.13 / $13,092.93	Facility		$8,763.99	$12,103.13	$13,092.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $597.20 / $757.87 / $1,018.58	Professional		$597.20	$757.87	$1,018.58
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 $483.76 / $712.30 / $1,013.44	Professional		$483.76	$712.30	$1,013.44