Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,258.93 / $13,182.57	Facility		$933.25	$1,258.93	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $524.81 / $1,348.96	Professional		$426.58	$524.81	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $851.14 / $1,288.25	Professional		$489.78	$851.14	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,174.90	Professional		$758.58	$1,000.00	$1,174.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $707.95 / $1,148.15	Facility		$457.09	$707.95	$1,148.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $1,230.27	Professional		$691.83	$831.76	$1,230.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $891.25 / $977.24	Facility		$660.69	$891.25	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $707.95 / $1,023.29	Facility		$457.09	$707.95	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $891.25 / $1,288.25	Professional		$79.43	$891.25	$1,288.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,888.44 / $7,244.36	Facility		$4,570.88	$5,888.44	$7,244.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,380.38	Professional		$707.95	$977.24	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $8,912.51	Facility		$1,698.24	$5,754.40	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $891.25 / $1,258.93	Professional		$562.34	$891.25	$1,258.93