Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $678.41 / $2,747.00 / $7,920.26	Facility		$678.41	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.06 / $482.48 / $1,146.94	Professional		$295.06	$482.48	$1,146.94
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 $460.24 / $763.08 / $1,311.86	Professional		$460.24	$763.08	$1,311.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $641.83 / $812.11 / $1,184.46	Professional		$641.83	$812.11	$1,184.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $429.37 / $709.36 / $1,070.09	Facility		$429.37	$709.36	$1,070.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $514.46 / $749.94 / $1,104.48	Professional		$514.46	$749.94	$1,104.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $574.55 / $846.88 / $984.23	Facility		$574.55	$846.88	$984.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $429.37 / $740.36 / $1,261.41	Facility		$429.37	$740.36	$1,261.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $574.20 / $834.24 / $1,277.43	Professional		$574.20	$834.24	$1,277.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $5,124.10 / $6,421.06	Facility		$3,868.81	$5,124.10	$6,421.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $582.53 / $904.10 / $1,356.78	Professional		$582.53	$904.10	$1,356.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $644.65 / $940.23 / $1,461.22	Professional		$644.65	$940.23	$1,461.22