Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.40 / $4,684.68 / $8,728.00	Facility		$918.40	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.92 / $540.61 / $1,330.34	Professional		$358.92	$540.61	$1,330.34
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 $454.23 / $785.00 / $1,184.23	Professional		$454.23	$785.00	$1,184.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $790.68 / $930.31 / $1,116.10	Professional		$790.68	$930.31	$1,116.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $522.41 / $710.64 / $955.40	Facility		$522.41	$710.64	$955.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $615.04 / $723.81 / $1,117.91	Professional		$615.04	$723.81	$1,117.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $524.23 / $752.60 / $847.55	Facility		$524.23	$752.60	$847.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $526.42 / $792.98 / $1,249.39	Facility		$526.42	$792.98	$1,249.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $682.29 / $834.36 / $1,147.24	Professional		$682.29	$834.36	$1,147.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $753.91 / $987.33 / $1,326.99	Professional		$753.91	$987.33	$1,326.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $551.83 / $790.84 / $1,275.15	Professional		$551.83	$790.84	$1,275.15