Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,071.52 / $13,182.57	Facility		$812.83	$1,071.52	$13,182.57
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 $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $741.31 / $1,122.02	Professional		$426.58	$741.31	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,023.29	Professional		$660.69	$870.96	$1,023.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $602.56 / $1,000.00	Facility		$407.38	$602.56	$1,000.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $1,096.48	Professional		$588.84	$724.44	$1,096.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $776.25 / $831.76	Facility		$575.44	$776.25	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $588.84 / $891.25	Facility		$407.38	$588.84	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $758.58 / $1,096.48	Professional		$79.43	$758.58	$1,096.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,011.87 / $6,165.95	Facility		$3,801.89	$5,011.87	$6,165.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,148.15	Professional		$630.96	$851.14	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $8,128.31 / $12,882.50	Facility		$1,995.26	$8,128.31	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $758.58 / $1,096.48	Professional		$489.78	$758.58	$1,096.48