Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $607.07 / $7,920.26 / $20,400.00	Facility		$607.07	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.22 / $595.15 / $861.95	Professional		$331.22	$595.15	$861.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $451.00 / $451.00	Facility		$451.00	$451.00	$451.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.17 / $507.11 / $782.47	Professional		$327.17	$507.11	$782.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.47 / $600.83 / $690.52	Professional		$300.47	$600.83	$690.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $308.52 / $535.16 / $1,302.76	Facility		$308.52	$535.16	$1,302.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $448.72 / $607.09 / $1,117.41	Professional		$448.72	$607.09	$1,117.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $406.98 / $578.32 / $1,330.96	Facility		$406.98	$578.32	$1,330.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $349.37 / $591.40 / $1,253.46	Facility		$349.37	$591.40	$1,253.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $476.26 / $567.71 / $884.68	Professional		$476.26	$567.71	$884.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,428.83 / $1,813.69 / $2,182.61	Facility		$1,428.83	$1,813.69	$2,182.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $497.56 / $566.47 / $778.07	Professional		$497.56	$566.47	$778.07
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 $428.40 / $695.94 / $1,280.16	Professional		$428.40	$695.94	$1,280.16