Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $793.56 / $1,058.58 / $7,920.26	Facility		$793.56	$1,058.58	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.62 / $527.52 / $1,189.64	Professional		$350.62	$527.52	$1,189.64
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 $468.05 / $806.35 / $1,212.70	Professional		$468.05	$806.35	$1,212.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $799.44 / $958.79 / $1,097.89	Professional		$799.44	$958.79	$1,097.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $447.64 / $731.35 / $1,028.50	Facility		$447.64	$731.35	$1,028.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $647.86 / $726.92 / $1,143.91	Professional		$647.86	$726.92	$1,143.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $535.98 / $801.72 / $905.17	Facility		$535.98	$801.72	$905.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $514.67 / $742.76 / $1,162.55	Facility		$514.67	$742.76	$1,162.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.20 / $861.18 / $1,186.03	Professional		$707.20	$861.18	$1,186.03
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 $744.18 / $983.99 / $1,289.22	Professional		$744.18	$983.99	$1,289.22
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 $594.24 / $854.22 / $1,376.84	Professional		$594.24	$854.22	$1,376.84