Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.89 / $2,690.00 / $7,920.26	Facility		$742.89	$2,690.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.89 / $469.48 / $1,180.45	Professional		$298.89	$469.48	$1,180.45
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 $465.59 / $783.36 / $1,305.72	Professional		$465.59	$783.36	$1,305.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $709.24 / $900.98 / $1,200.58	Professional		$709.24	$900.98	$1,200.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $432.95 / $702.72 / $1,081.70	Facility		$432.95	$702.72	$1,081.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $537.66 / $750.52 / $1,120.46	Professional		$537.66	$750.52	$1,120.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $529.30 / $848.22 / $988.92	Facility		$529.30	$848.22	$988.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $462.82 / $721.71 / $1,262.27	Facility		$462.82	$721.71	$1,262.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $606.54 / $872.95 / $1,277.16	Professional		$606.54	$872.95	$1,277.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $620.57 / $917.99 / $1,345.53	Professional		$620.57	$917.99	$1,345.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $643.63 / $933.39 / $1,523.95	Professional		$643.63	$933.39	$1,523.95