Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $671.64 / $1,486.00 / $7,920.26	Facility		$671.64	$1,486.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.81 / $422.06 / $1,003.00	Professional		$277.81	$422.06	$1,003.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.20 / $706.75 / $1,137.67	Professional		$405.20	$706.75	$1,137.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $636.85 / $796.46 / $1,028.76	Professional		$636.85	$796.46	$1,028.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $403.08 / $616.64 / $935.42	Facility		$403.08	$616.64	$935.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $491.26 / $670.35 / $979.28	Professional		$491.26	$670.35	$979.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $470.34 / $761.77 / $845.54	Facility		$470.34	$761.77	$845.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $404.46 / $642.51 / $1,139.41	Facility		$404.46	$642.51	$1,139.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $550.55 / $777.00 / $1,097.94	Professional		$550.55	$777.00	$1,097.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $556.61 / $811.47 / $1,158.13	Professional		$556.61	$811.47	$1,158.13
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 $561.60 / $807.30 / $1,261.73	Professional		$561.60	$807.30	$1,261.73