Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $985.71 / $1,505.96 / $7,920.26	Facility		$985.71	$1,505.96	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.57 / $720.83 / $1,910.61	Professional		$509.57	$720.83	$1,910.61
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 $769.06 / $1,237.43 / $1,855.58	Professional		$769.06	$1,237.43	$1,855.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,017.29 / $1,263.96 / $1,675.38	Professional		$1,017.29	$1,263.96	$1,675.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $686.56 / $1,088.63 / $1,838.45	Facility		$686.56	$1,088.63	$1,838.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $832.69 / $1,170.56 / $1,577.30	Professional		$832.69	$1,170.56	$1,577.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $813.82 / $1,291.41 / $1,465.29	Facility		$813.82	$1,291.41	$1,465.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $686.56 / $1,094.21 / $1,752.16	Facility		$686.56	$1,094.21	$1,752.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $919.04 / $1,288.95 / $1,769.39	Professional		$919.04	$1,288.95	$1,769.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $566.94 / $759.06 / $1,430.20	Facility		$566.94	$759.06	$1,430.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $916.15 / $1,303.85 / $1,908.27	Professional		$916.15	$1,303.85	$1,908.27
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $962.28 / $1,424.98 / $2,086.51	Professional		$962.28	$1,424.98	$2,086.51