Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.55 / $1,486.00 / $7,920.26	Facility		$580.55	$1,486.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.56 / $383.48 / $1,019.25	Professional		$249.56	$383.48	$1,019.25
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 $372.74 / $650.89 / $1,036.07	Professional		$372.74	$650.89	$1,036.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $550.98 / $692.89 / $930.24	Professional		$550.98	$692.89	$930.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $368.33 / $570.07 / $908.08	Facility		$368.33	$570.07	$908.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $436.16 / $612.02 / $866.56	Professional		$436.16	$612.02	$866.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $455.47 / $706.26 / $775.86	Facility		$455.47	$706.26	$775.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $368.33 / $574.69 / $1,103.32	Facility		$368.33	$574.69	$1,103.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $484.51 / $703.19 / $1,000.13	Professional		$484.51	$703.19	$1,000.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $5,124.10 / $6,421.06	Facility		$3,868.81	$5,124.10	$6,421.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $484.64 / $730.88 / $1,082.99	Professional		$484.64	$730.88	$1,082.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $543.85 / $793.11 / $1,184.15	Professional		$543.85	$793.11	$1,184.15