Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.16 / $1,291.52 / $7,920.26	Facility		$633.16	$1,291.52	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.02 / $521.84 / $1,758.00	Professional		$302.02	$521.84	$1,758.00
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 $450.25 / $806.09 / $1,403.17	Professional		$450.25	$806.09	$1,403.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $667.01 / $845.34 / $1,266.90	Professional		$667.01	$845.34	$1,266.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $445.89 / $757.79 / $1,153.70	Facility		$445.89	$757.79	$1,153.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $520.84 / $783.90 / $1,178.97	Professional		$520.84	$783.90	$1,178.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $511.25 / $891.46 / $1,048.55	Facility		$511.25	$891.46	$1,048.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $445.89 / $764.50 / $1,643.68	Facility		$445.89	$764.50	$1,643.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $592.20 / $874.35 / $1,366.07	Professional		$592.20	$874.35	$1,366.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $5,124.10 / $6,421.06	Facility		$3,868.81	$5,124.10	$6,421.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $596.70 / $966.22 / $1,459.85	Professional		$596.70	$966.22	$1,459.85
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 $667.92 / $958.32 / $1,565.83	Professional		$667.92	$958.32	$1,565.83