Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $739.69 / $4,962.67 / $15,341.00	Facility		$739.69	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.95 / $457.04 / $1,060.97	Professional		$322.95	$457.04	$1,060.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.10 / $720.33 / $1,032.46	Professional		$439.10	$720.33	$1,032.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $631.82 / $741.45 / $887.87	Professional		$631.82	$741.45	$887.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.04 / $653.57 / $982.64	Facility		$457.04	$653.57	$982.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $544.38 / $653.52 / $942.29	Professional		$544.38	$653.52	$942.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $541.19 / $667.25 / $821.70	Facility		$541.19	$667.25	$821.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.04 / $709.92 / $2,919.00	Facility		$457.04	$709.92	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $611.10 / $737.78 / $967.58	Professional		$611.10	$737.78	$967.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,846.16 / $6,142.31 / $7,227.91	Facility		$4,846.16	$6,142.31	$7,227.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $608.27 / $790.89 / $1,045.84	Professional		$608.27	$790.89	$1,045.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $503.39 / $755.26 / $1,052.18	Professional		$503.39	$755.26	$1,052.18