Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.43 / $2,747.00 / $7,920.26	Facility		$766.43	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.99 / $461.42 / $1,218.73	Professional		$295.99	$461.42	$1,218.73
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 $456.86 / $779.00 / $1,239.48	Professional		$456.86	$779.00	$1,239.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $658.12 / $827.12 / $1,119.11	Professional		$658.12	$827.12	$1,119.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $441.18 / $687.99 / $1,071.43	Facility		$441.18	$687.99	$1,071.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $522.00 / $735.93 / $1,042.91	Professional		$522.00	$735.93	$1,042.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $550.22 / $849.76 / $925.48	Facility		$550.22	$849.76	$925.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $441.18 / $700.94 / $1,302.32	Facility		$441.18	$700.94	$1,302.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $578.66 / $843.82 / $1,192.30	Professional		$578.66	$843.82	$1,192.30
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 $581.76 / $864.64 / $1,291.44	Professional		$581.76	$864.64	$1,291.44
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 $679.76 / $951.75 / $1,395.36	Professional		$679.76	$951.75	$1,395.36