Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.49 / $2,747.00 / $7,920.26	Facility		$569.49	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.79 / $401.69 / $1,115.99	Professional		$259.79	$401.69	$1,115.99
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 $407.77 / $681.78 / $1,058.97	Professional		$407.77	$681.78	$1,058.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $542.07 / $680.45 / $949.44	Professional		$542.07	$680.45	$949.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $400.49 / $652.72 / $1,003.12	Facility		$400.49	$652.72	$1,003.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $440.97 / $636.00 / $887.40	Professional		$440.97	$636.00	$887.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $512.71 / $763.23 / $860.95	Facility		$512.71	$763.23	$860.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $401.33 / $652.72 / $1,196.80	Facility		$401.33	$652.72	$1,196.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $485.12 / $727.02 / $1,051.20	Professional		$485.12	$727.02	$1,051.20
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 $490.73 / $747.10 / $1,200.21	Professional		$490.73	$747.10	$1,200.21
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 $587.39 / $880.60 / $1,264.36	Professional		$587.39	$880.60	$1,264.36