Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $989.65 / $1,486.00 / $7,920.26	Facility		$989.65	$1,486.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.49 / $577.40 / $1,315.71	Professional		$434.49	$577.40	$1,315.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $729.35 / $1,098.83 / $1,729.20	Professional		$729.35	$1,098.83	$1,729.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $816.18 / $1,177.67 / $1,497.96	Professional		$816.18	$1,177.67	$1,497.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.50 / $898.55 / $1,494.00	Facility		$645.50	$898.55	$1,494.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $836.94 / $1,030.08 / $1,629.64	Professional		$836.94	$1,030.08	$1,629.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $773.63 / $1,171.16 / $1,435.73	Facility		$773.63	$1,171.16	$1,435.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.50 / $994.27 / $3,005.10	Facility		$645.50	$994.27	$3,005.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $908.47 / $1,185.66 / $1,626.86	Professional		$908.47	$1,185.66	$1,626.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,048.47	Facility		$4,573.85	$5,897.44	$7,048.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $972.39 / $1,280.70 / $1,805.94	Professional		$972.39	$1,280.70	$1,805.94
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 $739.06 / $1,144.95 / $1,831.93	Professional		$739.06	$1,144.95	$1,831.93