Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,202.26 / $6,606.93	Facility		$776.25	$1,202.26	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $575.44 / $1,698.24	Professional		$389.05	$575.44	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $870.96 / $1,412.54	Professional		$478.63	$870.96	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,380.38	Professional		$707.95	$977.24	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $707.95 / $1,258.93	Facility		$407.38	$707.95	$1,258.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,318.26	Professional		$630.96	$912.01	$1,318.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,071.52	Facility		$724.44	$1,000.00	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $758.58 / $1,174.90	Facility		$436.52	$758.58	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $891.25 / $1,348.96	Professional		$79.43	$891.25	$1,348.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $6,165.95	Facility		$3,890.45	$5,128.61	$6,165.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $1,380.38	Professional		$724.44	$1,023.29	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $7,413.10	Facility		$1,096.48	$3,715.35	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $851.14 / $1,318.26	Professional		$562.34	$851.14	$1,318.26