Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $866.70 / $1,486.00 / $7,920.26	Facility		$866.70	$1,486.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.56 / $551.17 / $1,291.71	Professional		$361.56	$551.17	$1,291.71
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 $543.96 / $909.73 / $1,415.01	Professional		$543.96	$909.73	$1,415.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.38 / $990.50 / $1,270.52	Professional		$812.38	$990.50	$1,270.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $551.92 / $817.50 / $1,209.53	Facility		$551.92	$817.50	$1,209.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $645.54 / $862.78 / $1,256.17	Professional		$645.54	$862.78	$1,256.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $654.17 / $966.01 / $1,073.33	Facility		$654.17	$966.01	$1,073.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $551.92 / $856.71 / $1,484.66	Facility		$551.92	$856.71	$1,484.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $724.38 / $1,003.11 / $1,394.75	Professional		$724.38	$1,003.11	$1,394.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $723.89 / $1,030.66 / $1,501.07	Professional		$723.89	$1,030.66	$1,501.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $735.83 / $1,073.08 / $1,653.18	Professional		$735.83	$1,073.08	$1,653.18