Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.21 / $1,190.06 / $7,920.26	Facility		$371.21	$1,190.06	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.12 / $372.36 / $992.82	Professional		$170.12	$372.36	$992.82
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 $282.20 / $503.28 / $1,291.31	Professional		$282.20	$503.28	$1,291.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $394.57 / $500.04 / $1,165.90	Professional		$394.57	$500.04	$1,165.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.73 / $527.97 / $965.60	Facility		$263.73	$527.97	$965.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $306.82 / $604.86 / $1,067.23	Professional		$306.82	$604.86	$1,067.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $365.01 / $771.69 / $960.11	Facility		$365.01	$771.69	$960.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.73 / $676.08 / $1,251.97	Facility		$263.73	$676.08	$1,251.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $347.13 / $585.20 / $1,241.69	Professional		$347.13	$585.20	$1,241.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $4,855.54 / $6,069.32	Facility		$3,868.81	$4,855.54	$6,069.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $354.20 / $601.28 / $1,333.35	Professional		$354.20	$601.28	$1,333.35
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 $556.91 / $823.02 / $1,344.77	Professional		$556.91	$823.02	$1,344.77