Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.19 / $4,684.68 / $8,728.00	Facility		$404.19	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.50 / $281.73 / $1,126.91	Professional		$169.50	$281.73	$1,126.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $1,664.70	Facility		$1,487.79	$1,487.79	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.11 / $418.56 / $1,441.75	Professional		$226.11	$418.56	$1,441.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $349.01 / $512.77 / $1,294.14	Professional		$349.01	$512.77	$1,294.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $227.49 / $379.72 / $835.36	Facility		$227.49	$379.72	$835.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $301.01 / $398.75 / $1,369.41	Professional		$301.01	$398.75	$1,369.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $261.14 / $372.52 / $1,077.35	Facility		$261.14	$372.52	$1,077.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $227.49 / $415.80 / $1,407.28	Facility		$227.49	$415.80	$1,407.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $350.46 / $469.84 / $1,362.78	Professional		$350.46	$469.84	$1,362.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,389.68 / $5,985.85 / $7,123.24	Facility		$4,389.68	$5,985.85	$7,123.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $351.67 / $526.80 / $1,443.20	Professional		$351.67	$526.80	$1,443.20
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 $275.39 / $390.25 / $1,699.04	Professional		$275.39	$390.25	$1,699.04