Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $870.96 / $7,943.28	Facility		$660.69	$870.96	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $346.74 / $851.14	Professional		$295.12	$346.74	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $602.56 / $912.01	Professional		$338.84	$602.56	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $794.33	Professional		$457.09	$602.56	$794.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $467.74 / $1,000.00	Facility		$309.03	$467.74	$1,000.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $588.84 / $891.25	Professional		$489.78	$588.84	$891.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $630.96 / $676.08	Facility		$537.03	$630.96	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $524.81 / $794.33	Facility		$331.13	$524.81	$794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $630.96 / $891.25	Professional		$79.43	$630.96	$891.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $10,232.93 / $12,302.69	Facility		$6,309.57	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $676.08 / $977.24	Professional		$588.84	$676.08	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,125.38	Facility		$1,995.26	$10,000.00	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $630.96 / $891.25	Professional		$416.87	$630.96	$891.25