Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.04 / $2,747.00 / $7,920.26	Facility		$622.04	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.10 / $418.57 / $1,122.59	Professional		$274.10	$418.57	$1,122.59
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 $409.26 / $710.26 / $1,125.50	Professional		$409.26	$710.26	$1,125.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $592.29 / $743.83 / $1,016.19	Professional		$592.29	$743.83	$1,016.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $394.42 / $620.91 / $960.80	Facility		$394.42	$620.91	$960.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $468.50 / $683.52 / $944.86	Professional		$468.50	$683.52	$944.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $506.81 / $781.47 / $918.57	Facility		$506.81	$781.47	$918.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $394.42 / $637.97 / $1,284.73	Facility		$394.42	$637.97	$1,284.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $522.05 / $760.74 / $1,079.76	Professional		$522.05	$760.74	$1,079.76
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 $518.40 / $785.48 / $1,168.06	Professional		$518.40	$785.48	$1,168.06
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 $609.00 / $889.14 / $1,278.43	Professional		$609.00	$889.14	$1,278.43