Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.39 / $4,684.68 / $8,728.00	Facility		$474.39	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.32 / $344.79 / $847.18	Professional		$234.32	$344.79	$847.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,937.44 / $1,937.44 / $2,735.22	Facility		$1,937.44	$1,937.44	$2,735.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.70 / $536.41 / $742.70	Professional		$319.70	$536.41	$742.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $343.09 / $450.51 / $548.12	Professional		$343.09	$450.51	$548.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $292.58 / $511.57 / $901.38	Facility		$292.58	$511.57	$901.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $351.71 / $577.32 / $699.16	Professional		$351.71	$577.32	$699.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $361.34 / $440.86 / $737.00	Facility		$361.34	$440.86	$737.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $298.14 / $562.05 / $1,045.93	Facility		$298.14	$562.05	$1,045.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $406.10 / $524.29 / $713.16	Professional		$406.10	$524.29	$713.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,811.13 / $10,179.44 / $11,932.41	Facility		$7,811.13	$10,179.44	$11,932.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $402.85 / $529.96 / $698.10	Professional		$402.85	$529.96	$698.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $12,835.00 / $26,404.00	Facility		$1,895.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $344.32 / $565.58 / $761.07	Professional		$344.32	$565.58	$761.07