Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.61 / $4,684.68 / $8,728.00	Facility		$563.61	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.63 / $347.59 / $815.83	Professional		$237.63	$347.59	$815.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $535.12 / $839.91	Professional		$308.00	$535.12	$839.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $587.35 / $691.41 / $825.38	Professional		$587.35	$691.41	$825.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $347.59 / $566.96 / $895.99	Facility		$347.59	$566.96	$895.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $431.52 / $551.54 / $942.48	Professional		$431.52	$551.54	$942.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $361.92 / $510.00 / $667.32	Facility		$361.92	$510.00	$667.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $347.59 / $602.25 / $1,012.01	Facility		$347.59	$602.25	$1,012.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $465.00 / $538.58 / $796.80	Professional		$465.00	$538.58	$796.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,265.38 / $2,900.22 / $3,412.14	Facility		$2,265.38	$2,900.22	$3,412.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $464.96 / $665.28 / $855.56	Professional		$464.96	$665.28	$855.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $384.81 / $551.30 / $804.32	Professional		$384.81	$551.30	$804.32