Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.92 / $1,299.19 / $7,920.26	Facility		$413.92	$1,299.19	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.84 / $454.60 / $1,299.19	Professional		$184.84	$454.60	$1,299.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.73 / $582.89 / $1,512.71	Professional		$312.73	$582.89	$1,512.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.38 / $539.26 / $1,365.80	Professional		$426.38	$539.26	$1,365.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $289.54 / $570.16 / $1,149.36	Facility		$289.54	$570.16	$1,149.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $348.08 / $654.72 / $1,263.35	Professional		$348.08	$654.72	$1,263.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $387.11 / $883.32 / $1,155.75	Facility		$387.11	$883.32	$1,155.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $289.54 / $621.28 / $1,337.61	Facility		$289.54	$621.28	$1,337.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $393.01 / $655.21 / $1,505.97	Professional		$393.01	$655.21	$1,505.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,222.39	Facility		$4,573.85	$5,897.44	$7,222.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $396.58 / $694.06 / $1,638.99	Professional		$396.58	$694.06	$1,638.99
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 $630.66 / $932.28 / $1,515.44	Professional		$630.66	$932.28	$1,515.44