Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.64 / $4,684.68 / $8,728.00	Facility		$560.64	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.33 / $480.35 / $1,335.37	Professional		$318.33	$480.35	$1,335.37
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 $308.91 / $480.40 / $754.16	Professional		$308.91	$480.40	$754.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $298.95 / $573.01 / $688.03	Professional		$298.95	$573.01	$688.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $307.39 / $527.10 / $1,134.50	Facility		$307.39	$527.10	$1,134.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $422.82 / $562.44 / $930.47	Professional		$422.82	$562.44	$930.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $397.77 / $576.21 / $1,128.57	Facility		$397.77	$576.21	$1,128.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.93 / $632.15 / $2,573.00	Facility		$331.93	$632.15	$2,573.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $450.36 / $558.08 / $827.68	Professional		$450.36	$558.08	$827.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,813.93 / $11,944.47 / $14,473.89	Facility		$8,813.93	$11,944.47	$14,473.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $459.43 / $564.53 / $767.36	Professional		$459.43	$564.53	$767.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $424.84 / $629.76 / $1,005.04	Professional		$424.84	$629.76	$1,005.04