Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.03 / $2,777.80 / $7,920.26	Facility		$784.03	$2,777.80	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.87 / $504.96 / $1,180.74	Professional		$315.87	$504.96	$1,180.74
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 $418.41 / $736.40 / $1,098.34	Professional		$418.41	$736.40	$1,098.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $733.25 / $877.50 / $1,004.20	Professional		$733.25	$877.50	$1,004.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $415.73 / $658.08 / $930.75	Facility		$415.73	$658.08	$930.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $569.58 / $660.83 / $1,030.30	Professional		$569.58	$660.83	$1,030.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $463.42 / $698.75 / $814.05	Facility		$463.42	$698.75	$814.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $464.88 / $673.19 / $1,039.45	Facility		$464.88	$673.19	$1,039.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $631.89 / $777.77 / $1,071.33	Professional		$631.89	$777.77	$1,071.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $564.70 / $724.26 / $890.90	Facility		$564.70	$724.26	$890.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $678.99 / $893.25 / $1,175.93	Professional		$678.99	$893.25	$1,175.93
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 $544.40 / $795.48 / $1,265.69	Professional		$544.40	$795.48	$1,265.69