Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $820.98 / $1,086.76 / $7,920.26	Facility		$820.98	$1,086.76	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.99 / $522.75 / $1,533.42	Professional		$347.99	$522.75	$1,533.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $639.33 / $921.46 / $1,329.76	Professional		$639.33	$921.46	$1,329.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $604.45 / $879.20 / $1,147.40	Professional		$604.45	$879.20	$1,147.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $463.93 / $740.28 / $1,271.16	Facility		$463.93	$740.28	$1,271.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $612.00 / $829.29 / $1,193.58	Professional		$612.00	$829.29	$1,193.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.26 / $960.94 / $1,195.44	Facility		$575.26	$960.94	$1,195.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $463.93 / $740.28 / $1,246.82	Facility		$463.93	$740.28	$1,246.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $681.36 / $924.62 / $1,264.10	Professional		$681.36	$924.62	$1,264.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,328.38 / $8,364.56 / $10,637.18	Facility		$5,328.38	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $710.85 / $973.80 / $1,535.74	Professional		$710.85	$973.80	$1,535.74
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 $752.16 / $1,043.81 / $1,531.46	Professional		$752.16	$1,043.81	$1,531.46