Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,288.25 / $7,943.28	Facility		$758.58	$1,288.25	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $1,174.90	Professional		$331.13	$512.86	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $794.33 / $1,348.96	Professional		$446.68	$794.33	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,288.25	Professional		$660.69	$891.25	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $691.83 / $1,202.26	Facility		$416.87	$691.83	$1,202.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $812.83 / $1,230.27	Professional		$575.44	$812.83	$1,230.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,000.00 / $1,047.13	Facility		$691.83	$1,000.00	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $691.83 / $1,096.48	Facility		$416.87	$691.83	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $831.76 / $1,288.25	Professional		$79.43	$831.76	$1,288.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $1,318.26	Professional		$645.65	$954.99	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,125.38	Facility		$1,995.26	$10,000.00	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $831.76 / $1,288.25	Professional		$512.86	$831.76	$1,288.25