Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,174.90 / $13,182.57	Facility		$707.95	$1,174.90	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $1,096.48	Professional		$323.59	$501.19	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $758.58 / $1,258.93	Professional		$436.52	$758.58	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,174.90	Professional		$630.96	$851.14	$1,174.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $660.69 / $1,122.02	Facility		$389.05	$660.69	$1,122.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,148.15	Professional		$562.34	$794.33	$1,148.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $954.99 / $977.24	Facility		$660.69	$954.99	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $660.69 / $1,047.13	Facility		$389.05	$660.69	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $794.33 / $1,202.26	Professional		$79.43	$794.33	$1,202.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,715.19	Facility		$6,606.93	$8,912.51	$10,715.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $1,202.26	Professional		$616.60	$912.01	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $12,589.25	Facility		$1,698.24	$5,754.40	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $794.33 / $1,202.26	Professional		$489.78	$794.33	$1,202.26