Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,016.72 / $2,747.00 / $7,920.26	Facility		$1,016.72	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.61 / $682.04 / $1,652.57	Professional		$455.61	$682.04	$1,652.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $601.29 / $1,033.92 / $1,550.61	Professional		$601.29	$1,033.92	$1,550.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,021.89 / $1,226.89 / $1,403.68	Professional		$1,021.89	$1,226.89	$1,403.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.44 / $938.88 / $1,326.85	Facility		$588.44	$938.88	$1,326.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $828.18 / $941.23 / $1,481.21	Professional		$828.18	$941.23	$1,481.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $709.78 / $1,030.97 / $1,157.08	Facility		$709.78	$1,030.97	$1,157.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.44 / $951.08 / $1,496.70	Facility		$588.44	$951.08	$1,496.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $910.58 / $1,102.05 / $1,520.19	Professional		$910.58	$1,102.05	$1,520.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,016.60	Facility		$3,820.30	$4,901.89	$6,016.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $953.30 / $1,260.16 / $1,649.03	Professional		$953.30	$1,260.16	$1,649.03
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $762.71 / $1,080.51 / $1,713.57	Professional		$762.71	$1,080.51	$1,713.57