Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $679.60 / $2,747.00 / $7,920.26	Facility		$679.60	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.27 / $461.24 / $1,199.24	Professional		$283.27	$461.24	$1,199.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.09 / $769.13 / $1,210.52	Professional		$441.09	$769.13	$1,210.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $644.95 / $810.71 / $1,092.95	Professional		$644.95	$810.71	$1,092.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $429.20 / $659.90 / $1,010.54	Facility		$429.20	$659.90	$1,010.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $627.17 / $627.17 / $627.17	Professional		$627.17	$627.17	$627.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $829.91 / $907.18	Facility		$523.00	$829.91	$907.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $429.20 / $659.90 / $1,129.65	Facility		$429.20	$659.90	$1,129.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $564.20 / $824.60 / $1,164.44	Professional		$564.20	$824.60	$1,164.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $565.76 / $846.29 / $1,253.71	Professional		$565.76	$846.29	$1,253.71
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 $624.48 / $884.69 / $1,403.01	Professional		$624.48	$884.69	$1,403.01