Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $823.49 / $1,030.40 / $7,920.26	Facility		$823.49	$1,030.40	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.08 / $550.65 / $1,100.70	Professional		$427.08	$550.65	$1,100.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Facility		$78.00	$78.00	$78.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $621.01 / $931.11 / $1,379.65	Professional		$621.01	$931.11	$1,379.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $795.90 / $930.59 / $1,098.58	Professional		$795.90	$930.59	$1,098.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $542.47 / $821.99 / $1,267.41	Facility		$542.47	$821.99	$1,267.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $687.97 / $874.06 / $1,125.77	Professional		$687.97	$874.06	$1,125.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $610.64 / $830.96 / $1,011.03	Facility		$610.64	$830.96	$1,011.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $542.47 / $822.12 / $1,267.41	Facility		$542.47	$822.12	$1,267.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $779.24 / $959.49 / $1,220.03	Professional		$779.24	$959.49	$1,220.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $564.70 / $724.26 / $933.97	Facility		$564.70	$724.26	$933.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $780.47 / $996.67 / $1,348.88	Professional		$780.47	$996.67	$1,348.88
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $620.00 / $935.58 / $1,404.15	Professional		$620.00	$935.58	$1,404.15