Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,023.29 / $7,943.28	Facility		$660.69	$1,023.29	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $1,023.29	Professional		$309.03	$467.74	$1,023.29
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 $416.87 / $724.44 / $1,202.26	Professional		$416.87	$724.44	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,174.90	Professional		$602.56	$812.83	$1,174.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $645.65 / $1,047.13	Facility		$371.54	$645.65	$1,047.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,096.48	Professional		$562.34	$794.33	$1,096.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $912.01 / $933.25	Facility		$645.65	$912.01	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $645.65 / $977.24	Facility		$380.19	$645.65	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $758.58 / $1,148.15	Professional		$79.43	$758.58	$1,148.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $10,232.93 / $12,302.69	Facility		$6,309.57	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $1,148.15	Professional		$602.56	$851.14	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,125.38	Facility		$1,995.26	$10,000.00	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $758.58 / $1,174.90	Professional		$467.74	$758.58	$1,174.90