Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,318.26 / $7,943.28	Facility		$776.25	$1,318.26	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $1,380.38	Professional		$467.74	$575.44	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $933.25 / $1,479.11	Professional		$537.03	$933.25	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $1,479.11	Professional		$933.25	$1,174.90	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $776.25 / $1,258.93	Facility		$512.86	$776.25	$1,258.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $954.99 / $1,412.54	Professional		$794.33	$954.99	$1,412.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,122.02	Facility		$741.31	$1,023.29	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $776.25 / $1,174.90	Facility		$501.19	$776.25	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,000.00 / $1,445.44	Professional		$79.43	$1,000.00	$1,445.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,011.87 / $6,025.60	Facility		$3,801.89	$5,011.87	$6,025.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,513.56	Professional		$831.76	$1,071.52	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,365.16 / $6,918.31	Facility		$389.05	$4,365.16	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $977.24 / $1,445.44	Professional		$645.65	$977.24	$1,445.44