Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.10 / $2,747.00 / $7,920.26	Facility		$855.10	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.37 / $548.22 / $1,300.18	Professional		$343.37	$548.22	$1,300.18
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 $452.53 / $792.73 / $1,218.18	Professional		$452.53	$792.73	$1,218.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $805.68 / $964.38 / $1,112.49	Professional		$805.68	$964.38	$1,112.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $453.94 / $729.36 / $1,018.30	Facility		$453.94	$729.36	$1,018.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $625.24 / $731.60 / $1,157.68	Professional		$625.24	$731.60	$1,157.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $540.60 / $782.56 / $914.55	Facility		$540.60	$782.56	$914.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $499.02 / $736.00 / $1,154.14	Facility		$499.02	$736.00	$1,154.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $689.52 / $864.16 / $1,176.83	Professional		$689.52	$864.16	$1,176.83
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 $747.52 / $995.84 / $1,295.52	Professional		$747.52	$995.84	$1,295.52
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $595.22 / $815.65 / $1,304.84	Professional		$595.22	$815.65	$1,304.84