Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $822.27 / $2,747.00 / $7,920.26	Facility		$822.27	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.02 / $537.65 / $1,244.07	Professional		$338.02	$537.65	$1,244.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.62 / $775.49 / $1,156.71	Professional		$439.62	$775.49	$1,156.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $771.49 / $923.75 / $1,056.57	Professional		$771.49	$923.75	$1,056.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $437.82 / $697.80 / $974.95	Facility		$437.82	$697.80	$974.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $611.49 / $695.77 / $1,083.67	Professional		$611.49	$695.77	$1,083.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $512.73 / $753.08 / $858.27	Facility		$512.73	$753.08	$858.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $494.35 / $705.49 / $1,093.13	Facility		$494.35	$705.49	$1,093.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $668.25 / $819.39 / $1,126.85	Professional		$668.25	$819.39	$1,126.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,016.60	Facility		$3,820.30	$4,901.89	$6,016.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $714.67 / $940.17 / $1,238.46	Professional		$714.67	$940.17	$1,238.46
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $558.60 / $791.00 / $1,257.40	Professional		$558.60	$791.00	$1,257.40