Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,258.93 / $15,848.93	Facility		$676.08	$1,258.93	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $489.78 / $1,202.26	Professional		$380.19	$489.78	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $851.14 / $1,318.26	Professional		$501.19	$851.14	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,174.90	Professional		$758.58	$1,000.00	$1,174.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $707.95 / $1,148.15	Facility		$467.74	$707.95	$1,148.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $1,230.27	Professional		$691.83	$831.76	$1,230.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $891.25 / $977.24	Facility		$630.96	$891.25	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $707.95 / $1,023.29	Facility		$478.63	$707.95	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $870.96 / $1,288.25	Professional		$79.43	$870.96	$1,288.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $2,398.83	Facility		$1,412.54	$1,995.26	$2,398.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,348.96	Professional		$758.58	$977.24	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $3,311.31 / $6,165.95	Facility		$389.05	$3,311.31	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,258.93	Professional		$602.56	$870.96	$1,258.93