Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,071.52 / $7,943.28	Facility		$616.60	$1,071.52	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $1,148.15	Professional		$371.54	$457.09	$1,148.15
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 $426.58 / $758.58 / $1,174.90	Professional		$426.58	$758.58	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,202.26	Professional		$758.58	$954.99	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $616.60 / $977.24	Facility		$407.38	$616.60	$977.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $741.31 / $1,148.15	Professional		$616.60	$741.31	$1,148.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $794.33 / $912.01	Facility		$575.44	$794.33	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $616.60 / $933.25	Facility		$398.11	$616.60	$933.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $794.33 / $1,148.15	Professional		$79.43	$794.33	$1,148.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,011.87 / $6,025.60	Facility		$3,801.89	$5,011.87	$6,025.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,202.26	Professional		$630.96	$870.96	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,365.16 / $6,918.31	Facility		$389.05	$4,365.16	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $758.58 / $1,148.15	Professional		$501.19	$758.58	$1,148.15