Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.39 / $2,747.00 / $7,920.26	Facility		$814.39	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.71 / $605.25 / $1,487.68	Professional		$360.71	$605.25	$1,487.68
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 $540.41 / $945.11 / $1,557.24	Professional		$540.41	$945.11	$1,557.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $849.13 / $1,079.29 / $1,520.99	Professional		$849.13	$1,079.29	$1,520.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $487.19 / $804.51 / $1,287.51	Facility		$487.19	$804.51	$1,287.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $624.66 / $916.40 / $1,387.72	Professional		$624.66	$916.40	$1,387.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $628.79 / $1,044.72 / $1,250.89	Facility		$628.79	$1,044.72	$1,250.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.83 / $865.69 / $1,516.13	Facility		$512.83	$865.69	$1,516.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $684.42 / $1,021.76 / $1,481.94	Professional		$684.42	$1,021.76	$1,481.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $682.07 / $1,049.32 / $1,571.90	Professional		$682.07	$1,049.32	$1,571.90
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 $760.47 / $1,086.75 / $1,718.73	Professional		$760.47	$1,086.75	$1,718.73