Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,630.78 / $8,317.64	Facility		$676.08	$3,630.78	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $588.84 / $2,137.96	Professional		$269.15	$588.84	$2,137.96
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 $380.19 / $741.31 / $1,513.56	Professional		$380.19	$741.31	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $812.83 / $1,584.89	Professional		$562.34	$812.83	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $758.58 / $4,365.16	Facility		$323.59	$758.58	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $794.33 / $1,412.54	Professional		$436.52	$794.33	$1,412.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,071.52 / $1,202.26	Facility		$724.44	$1,071.52	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $630.96 / $1,258.93	Facility		$309.03	$630.96	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $758.58 / $1,479.11	Professional		$79.43	$758.58	$1,479.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,011.87 / $6,165.95	Facility		$3,801.89	$5,011.87	$6,165.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $912.01 / $1,513.56	Professional		$562.34	$912.01	$1,513.56
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 $436.52 / $758.58 / $1,318.26	Professional		$436.52	$758.58	$1,318.26