Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,122.02 / $7,943.28	Facility		$831.76	$1,122.02	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $467.74 / $1,202.26	Professional		$389.05	$467.74	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $776.25 / $1,148.15	Professional		$436.52	$776.25	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,047.13	Professional		$676.08	$891.25	$1,047.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $660.69 / $1,023.29	Facility		$426.58	$660.69	$1,023.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $1,096.48	Professional		$630.96	$741.31	$1,096.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $794.33 / $870.96	Facility		$645.65	$794.33	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $645.65 / $933.25	Facility		$426.58	$645.65	$933.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $794.33 / $1,148.15	Professional		$79.43	$794.33	$1,148.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $1,230.27	Professional		$724.44	$870.96	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,125.38	Facility		$1,995.26	$10,000.00	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $812.83 / $1,122.02	Professional		$549.54	$812.83	$1,122.02