Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,174.90 / $7,943.28	Facility		$630.96	$1,174.90	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $512.86 / $1,659.59	Professional		$302.00	$512.86	$1,659.59
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 $407.38 / $741.31 / $1,318.26	Professional		$407.38	$741.31	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $1,348.96	Professional		$588.84	$851.14	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $630.96 / $1,148.15	Facility		$354.81	$630.96	$1,148.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $758.58 / $1,258.93	Professional		$501.19	$758.58	$1,258.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $912.01 / $1,047.13	Facility		$575.44	$912.01	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $630.96 / $1,096.48	Facility		$363.08	$630.96	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $724.44 / $1,288.25	Professional		$79.43	$724.44	$1,288.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $6,456.54	Facility		$3,890.45	$5,128.61	$6,456.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $870.96 / $1,348.96	Professional		$588.84	$870.96	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $758.58 / $1,230.27	Professional		$457.09	$758.58	$1,230.27