Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.16 / $2,000.20 / $7,920.26	Facility		$783.16	$2,000.20	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.43 / $588.75 / $1,459.44	Professional		$390.43	$588.75	$1,459.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.34 / $860.13 / $1,302.55	Professional		$490.34	$860.13	$1,302.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $865.86 / $1,019.12 / $1,222.66	Professional		$865.86	$1,019.12	$1,222.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $636.72 / $859.57 / $1,203.28	Facility		$636.72	$859.57	$1,203.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $671.16 / $793.05 / $1,223.56	Professional		$671.16	$793.05	$1,223.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $607.55 / $840.18 / $929.96	Facility		$607.55	$840.18	$929.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $596.67 / $869.13 / $1,172.16	Facility		$596.67	$869.13	$1,172.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $747.60 / $911.81 / $1,262.18	Professional		$747.60	$911.81	$1,262.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,016.60	Facility		$3,820.30	$4,901.89	$6,016.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $829.23 / $1,083.33 / $1,455.88	Professional		$829.23	$1,083.33	$1,455.88
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 $612.47 / $867.67 / $1,439.77	Professional		$612.47	$867.67	$1,439.77