Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.39 / $4,684.68 / $8,728.00	Facility		$688.39	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.32 / $420.90 / $991.08	Professional		$278.32	$420.90	$991.08
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 $363.64 / $598.46 / $906.43	Professional		$363.64	$598.46	$906.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $583.73 / $683.74 / $820.29	Professional		$583.73	$683.74	$820.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $399.86 / $565.21 / $732.70	Facility		$399.86	$565.21	$732.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $483.07 / $546.22 / $838.43	Professional		$483.07	$546.22	$838.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $421.03 / $577.80 / $639.17	Facility		$421.03	$577.80	$639.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $420.90 / $604.55 / $1,794.00	Facility		$420.90	$604.55	$1,794.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $532.94 / $635.91 / $874.10	Professional		$532.94	$635.91	$874.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54,340.97 / $73,520.14 / $86,036.51	Facility		$54,340.97	$73,520.14	$86,036.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $577.05 / $744.60 / $1,000.75	Professional		$577.05	$744.60	$1,000.75
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $421.58 / $609.95 / $967.31	Professional		$421.58	$609.95	$967.31