Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.29 / $2,747.00 / $7,920.26	Facility		$588.29	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.05 / $410.89 / $855.04	Professional		$238.05	$410.89	$855.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.83 / $671.48 / $1,123.10	Professional		$382.83	$671.48	$1,123.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $563.41 / $710.91 / $1,014.04	Professional		$563.41	$710.91	$1,014.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $375.30 / $614.64 / $933.32	Facility		$375.30	$614.64	$933.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $433.92 / $660.21 / $940.31	Professional		$433.92	$660.21	$940.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $480.80 / $764.16 / $831.47	Facility		$480.80	$764.16	$831.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $375.30 / $614.64 / $1,129.23	Facility		$375.30	$614.64	$1,129.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.51 / $728.88 / $1,073.47	Professional		$489.51	$728.88	$1,073.47
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 $493.22 / $756.49 / $1,165.43	Professional		$493.22	$756.49	$1,165.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,113.00	Facility		$1,981.00	$9,074.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $564.91 / $843.50 / $1,296.41	Professional		$564.91	$843.50	$1,296.41