Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,096.48 / $7,943.28	Facility		$630.96	$1,096.48	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $457.09 / $1,479.11	Professional		$288.40	$457.09	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $660.69 / $1,122.02	Professional		$371.54	$660.69	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $1,122.02	Professional		$562.34	$776.25	$1,122.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $602.56 / $1,000.00	Facility		$323.59	$602.56	$1,000.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $1,071.52	Professional		$489.78	$691.83	$1,071.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $794.33 / $870.96	Facility		$575.44	$794.33	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $575.44 / $912.01	Facility		$323.59	$575.44	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $691.83 / $1,096.48	Professional		$79.43	$691.83	$1,096.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $6,456.54	Facility		$3,890.45	$5,128.61	$6,456.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $1,096.48	Professional		$562.34	$776.25	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $1,047.13	Professional		$436.52	$676.08	$1,047.13