Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.26 / $2,747.00 / $7,920.26	Facility		$758.26	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.24 / $486.98 / $1,070.50	Professional		$316.24	$486.98	$1,070.50
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 $489.68 / $862.65 / $1,287.92	Professional		$489.68	$862.65	$1,287.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.18 / $886.08 / $1,146.03	Professional		$707.18	$886.08	$1,146.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $486.98 / $755.17 / $1,242.51	Facility		$486.98	$755.17	$1,242.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $576.52 / $799.86 / $1,087.80	Professional		$576.52	$799.86	$1,087.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $592.95 / $924.98 / $1,001.64	Facility		$592.95	$924.98	$1,001.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $486.98 / $755.17 / $1,242.51	Facility		$486.98	$755.17	$1,242.51
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $158.79 / $158.79 / $158.79	Facility	AS	$158.79	$158.79	$158.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $645.12 / $908.49 / $1,266.32	Professional		$645.12	$908.49	$1,266.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $644.52 / $929.67 / $1,360.61	Professional		$644.52	$929.67	$1,360.61
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 $686.40 / $1,001.00 / $1,487.69	Professional		$686.40	$1,001.00	$1,487.69