Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.20 / $1,486.00 / $7,920.26	Facility		$722.20	$1,486.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.68 / $509.57 / $1,900.12	Professional		$333.68	$509.57	$1,900.12
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 $499.49 / $834.30 / $1,339.65	Professional		$499.49	$834.30	$1,339.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $760.85 / $953.56 / $1,223.48	Professional		$760.85	$953.56	$1,223.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $509.57 / $745.39 / $1,118.00	Facility		$509.57	$745.39	$1,118.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $595.63 / $799.50 / $1,184.05	Professional		$595.63	$799.50	$1,184.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $567.22 / $893.78 / $1,020.41	Facility		$567.22	$893.78	$1,020.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $509.57 / $758.07 / $1,301.39	Facility		$509.57	$758.07	$1,301.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.29 / $937.44 / $1,317.40	Professional		$676.29	$937.44	$1,317.40
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 $674.07 / $979.74 / $1,397.07	Professional		$674.07	$979.74	$1,397.07
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 $664.13 / $987.69 / $1,612.87	Professional		$664.13	$987.69	$1,612.87