Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.63 / $1,194.45 / $7,920.26	Facility		$936.63	$1,194.45	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.09 / $550.07 / $1,279.66	Professional		$367.09	$550.07	$1,279.66
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 $499.90 / $867.64 / $1,300.59	Professional		$499.90	$867.64	$1,300.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $860.98 / $1,030.05 / $1,187.27	Professional		$860.98	$1,030.05	$1,187.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $482.83 / $785.56 / $1,042.95	Facility		$482.83	$785.56	$1,042.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $647.40 / $783.50 / $1,229.13	Professional		$647.40	$783.50	$1,229.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $574.08 / $810.60 / $974.18	Facility		$574.08	$810.60	$974.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $514.47 / $798.56 / $1,241.23	Facility		$514.47	$798.56	$1,241.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $738.54 / $924.63 / $1,270.92	Professional		$738.54	$924.63	$1,270.92
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 $796.46 / $1,057.29 / $1,380.21	Professional		$796.46	$1,057.29	$1,380.21
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 $634.04 / $898.95 / $1,409.49	Professional		$634.04	$898.95	$1,409.49