Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.45 / $2,824.50 / $7,920.26	Facility		$742.45	$2,824.50	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.54 / $448.92 / $1,571.80	Professional		$285.54	$448.92	$1,571.80
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 $427.33 / $717.05 / $1,172.82	Professional		$427.33	$717.05	$1,172.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $643.66 / $814.42 / $1,058.91	Professional		$643.66	$814.42	$1,058.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $414.62 / $646.38 / $969.41	Facility		$414.62	$646.38	$969.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $509.24 / $689.62 / $999.42	Professional		$509.24	$689.62	$999.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $493.25 / $778.14 / $879.04	Facility		$493.25	$778.14	$879.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $428.14 / $673.15 / $1,151.45	Facility		$428.14	$673.15	$1,151.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $570.70 / $798.39 / $1,139.70	Professional		$570.70	$798.39	$1,139.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $5,124.10 / $6,421.06	Facility		$3,868.81	$5,124.10	$6,421.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $575.09 / $842.36 / $1,210.59	Professional		$575.09	$842.36	$1,210.59
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 $576.69 / $834.36 / $1,357.15	Professional		$576.69	$834.36	$1,357.15