Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $725.90 / $2,747.00 / $7,920.26	Facility		$725.90	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.29 / $450.55 / $1,374.15	Professional		$262.29	$450.55	$1,374.15
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 $421.64 / $796.08 / $1,391.03	Professional		$421.64	$796.08	$1,391.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $690.28 / $873.64 / $1,257.16	Professional		$690.28	$873.64	$1,257.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $296.08 / $711.23 / $1,131.29	Facility		$296.08	$711.23	$1,131.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $498.78 / $768.50 / $1,174.41	Professional		$498.78	$768.50	$1,174.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $428.18 / $877.88 / $1,043.19	Facility		$428.18	$877.88	$1,043.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $296.08 / $752.60 / $1,335.20	Facility		$296.08	$752.60	$1,335.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $608.22 / $882.87 / $1,352.16	Professional		$608.22	$882.87	$1,352.16
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 $608.27 / $956.98 / $1,442.98	Professional		$608.27	$956.98	$1,442.98
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 $661.94 / $970.03 / $1,551.82	Professional		$661.94	$970.03	$1,551.82