Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,348.96 / $8,511.38	Facility		$758.58	$1,348.96	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $602.56 / $1,949.84	Professional		$323.59	$602.56	$1,949.84
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 $436.52 / $776.25 / $1,380.38	Professional		$436.52	$776.25	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $1,445.44	Professional		$616.60	$891.25	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $707.95 / $1,258.93	Facility		$354.81	$707.95	$1,258.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $831.76 / $1,318.26	Professional		$549.54	$831.76	$1,318.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $977.24 / $1,122.02	Facility		$691.83	$977.24	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $676.08 / $1,174.90	Facility		$354.81	$676.08	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $831.76 / $1,380.38	Professional		$79.43	$831.76	$1,380.38
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 $630.96 / $933.25 / $1,380.38	Professional		$630.96	$933.25	$1,380.38
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 $489.78 / $794.33 / $1,288.25	Professional		$489.78	$794.33	$1,288.25