Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,230.27 / $7,943.28	Facility		$707.95	$1,230.27	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $1,348.96	Professional		$331.13	$501.19	$1,348.96
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 $478.63 / $776.25 / $1,288.25	Professional		$478.63	$776.25	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,288.25	Professional		$660.69	$891.25	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $707.95 / $1,148.15	Facility		$416.87	$707.95	$1,148.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,230.27	Professional		$602.56	$831.76	$1,230.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $912.01 / $1,000.00	Facility		$676.08	$912.01	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $707.95 / $1,071.52	Facility		$426.58	$707.95	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $812.83 / $1,258.93	Professional		$79.43	$812.83	$1,258.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,715.19	Facility		$6,606.93	$8,912.51	$10,715.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $1,258.93	Professional		$660.69	$933.25	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $12,589.25	Facility		$1,698.24	$5,754.40	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $794.33 / $1,202.26	Professional		$537.03	$794.33	$1,202.26