Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,023.29 / $13,182.57	Facility		$630.96	$1,023.29	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $1,047.13	Professional		$316.23	$457.09	$1,047.13
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 $389.05 / $707.95 / $1,148.15	Professional		$389.05	$707.95	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,096.48	Professional		$562.34	$794.33	$1,096.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $602.56 / $977.24	Facility		$338.84	$602.56	$977.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $1,071.52	Professional		$512.86	$707.95	$1,071.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $831.76 / $912.01	Facility		$602.56	$831.76	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $602.56 / $933.25	Facility		$338.84	$602.56	$933.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $741.31 / $1,122.02	Professional		$79.43	$741.31	$1,122.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,232.93 / $12,302.69	Facility		$7,413.10	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $1,148.15	Professional		$588.84	$831.76	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $16,218.10 / $23,988.33	Facility		$2,884.03	$16,218.10	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $707.95 / $1,096.48	Professional		$457.09	$707.95	$1,096.48