Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $933.25 / $7,943.28	Facility		$660.69	$933.25	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $1,047.13	Professional		$309.03	$426.58	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $758.58 / $1,174.90	Professional		$446.68	$758.58	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $741.31 / $1,071.52	Professional		$467.74	$741.31	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $630.96 / $1,071.52	Facility		$371.54	$630.96	$1,071.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,071.52	Professional		$549.54	$776.25	$1,071.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $891.25 / $912.01	Facility		$616.60	$891.25	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $630.96 / $1,000.00	Facility		$380.19	$630.96	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $758.58 / $1,148.15	Professional		$79.43	$758.58	$1,148.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,621.81	Facility		$891.25	$1,258.93	$1,621.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,174.90	Professional		$676.08	$891.25	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,995.26 / $6,165.95	Facility		$389.05	$1,995.26	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $741.31 / $1,148.15	Professional		$478.63	$741.31	$1,148.15