Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $929.45 / $2,747.00 / $7,920.26	Facility		$929.45	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.93 / $602.76 / $1,380.97	Professional		$375.93	$602.76	$1,380.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.55 / $861.95 / $1,291.18	Professional		$497.55	$861.95	$1,291.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $855.06 / $1,024.98 / $1,172.22	Professional		$855.06	$1,024.98	$1,172.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $477.67 / $779.28 / $1,099.90	Facility		$477.67	$779.28	$1,099.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $685.56 / $776.03 / $1,220.52	Professional		$685.56	$776.03	$1,220.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $584.59 / $855.54 / $964.80	Facility		$584.59	$855.54	$964.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $548.79 / $794.22 / $1,238.45	Facility		$548.79	$794.22	$1,238.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $752.76 / $918.16 / $1,265.83	Professional		$752.76	$918.16	$1,265.83
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 $795.24 / $1,049.89 / $1,377.34	Professional		$795.24	$1,049.89	$1,377.34
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,362.00 / $6,216.00	Facility		$376.00	$4,362.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $642.04 / $928.33 / $1,469.05	Professional		$642.04	$928.33	$1,469.05