Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.97 / $4,684.68 / $8,728.00	Facility		$458.97	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.74 / $279.30 / $586.40	Professional		$184.74	$279.30	$586.40
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 $253.08 / $415.77 / $669.13	Professional		$253.08	$415.77	$669.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $285.32 / $476.11 / $657.48	Professional		$285.32	$476.11	$657.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $253.96 / $430.95 / $685.33	Facility		$253.96	$430.95	$685.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $329.97 / $447.25 / $654.62	Professional		$329.97	$447.25	$654.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $324.82 / $489.64 / $557.44	Facility		$324.82	$489.64	$557.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $265.83 / $450.63 / $690.77	Facility		$265.83	$450.63	$690.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $366.96 / $500.22 / $644.79	Professional		$366.96	$500.22	$644.79
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 $375.78 / $521.16 / $708.40	Professional		$375.78	$521.16	$708.40
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 $357.28 / $517.39 / $749.42	Professional		$357.28	$517.39	$749.42