Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.96 / $2,747.00 / $7,920.26	Facility		$727.96	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.82 / $490.32 / $1,202.43	Professional		$301.82	$490.32	$1,202.43
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 $471.37 / $830.10 / $1,317.96	Professional		$471.37	$830.10	$1,317.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $692.87 / $872.76 / $1,189.97	Professional		$692.87	$872.76	$1,189.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $461.10 / $714.78 / $1,109.30	Facility		$461.10	$714.78	$1,109.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $538.82 / $777.63 / $1,107.53	Professional		$538.82	$777.63	$1,107.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $572.32 / $900.46 / $980.21	Facility		$572.32	$900.46	$980.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $461.21 / $720.97 / $1,324.53	Facility		$461.21	$720.97	$1,324.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $605.79 / $890.27 / $1,260.88	Professional		$605.79	$890.27	$1,260.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $608.49 / $916.49 / $1,359.59	Professional		$608.49	$916.49	$1,359.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $660.82 / $1,012.92 / $1,501.18	Professional		$660.82	$1,012.92	$1,501.18