Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,202.26 / $13,182.57	Facility		$707.95	$1,202.26	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $478.63 / $1,202.26	Professional		$295.12	$478.63	$1,202.26
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 $398.11 / $707.95 / $1,258.93	Professional		$398.11	$707.95	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $1,230.27	Professional		$588.84	$831.76	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $630.96 / $1,122.02	Facility		$346.74	$630.96	$1,122.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $758.58 / $1,148.15	Professional		$512.86	$758.58	$1,148.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $933.25 / $977.24	Facility		$645.65	$933.25	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $616.60 / $1,023.29	Facility		$338.84	$616.60	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $741.31 / $1,202.26	Professional		$79.43	$741.31	$1,202.26
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 $575.44 / $870.96 / $1,230.27	Professional		$575.44	$870.96	$1,230.27
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 $457.09 / $724.44 / $1,174.90	Professional		$457.09	$724.44	$1,174.90