Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.89 / $2,747.00 / $7,920.26	Facility		$797.89	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.99 / $540.35 / $1,874.54	Professional		$309.99	$540.35	$1,874.54
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 $481.94 / $830.31 / $1,434.00	Professional		$481.94	$830.31	$1,434.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $693.35 / $877.48 / $1,294.73	Professional		$693.35	$877.48	$1,294.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $440.23 / $780.99 / $1,173.78	Facility		$440.23	$780.99	$1,173.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $549.26 / $791.94 / $1,207.88	Professional		$549.26	$791.94	$1,207.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $557.54 / $922.83 / $1,073.33	Facility		$557.54	$922.83	$1,073.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $463.40 / $780.99 / $1,383.26	Facility		$463.40	$780.99	$1,383.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $617.10 / $909.72 / $1,400.83	Professional		$617.10	$909.72	$1,400.83
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 $622.82 / $977.47 / $1,495.45	Professional		$622.82	$977.47	$1,495.45
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 $684.48 / $1,011.83 / $1,604.65	Professional		$684.48	$1,011.83	$1,604.65