Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.62 / $4,684.68 / $8,728.00	Facility		$713.62	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.98 / $498.89 / $1,134.72	Professional		$277.98	$498.89	$1,134.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.08 / $545.07 / $877.72	Professional		$343.08	$545.07	$877.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $339.00 / $688.98 / $781.72	Professional		$339.00	$688.98	$781.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $332.22 / $584.42 / $881.17	Facility		$332.22	$584.42	$881.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $487.08 / $549.08 / $966.81	Professional		$487.08	$549.08	$966.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $422.53 / $610.37 / $661.29	Facility		$422.53	$610.37	$661.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $353.23 / $601.65 / $834.07	Facility		$353.23	$601.65	$834.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $494.10 / $622.08 / $865.08	Professional		$494.10	$622.08	$865.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $722.10 / $904.54 / $1,153.73	Facility		$722.10	$904.54	$1,153.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $633.50 / $884.33	Professional		$584.90	$633.50	$884.33
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $430.40 / $641.72 / $1,024.48	Professional		$430.40	$641.72	$1,024.48