Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.84 / $2,747.00 / $7,920.26	Facility		$887.84	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.44 / $563.94 / $1,569.32	Professional		$339.44	$563.94	$1,569.32
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 $544.82 / $997.00 / $1,678.94	Professional		$544.82	$997.00	$1,678.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $845.38 / $1,074.64 / $1,515.89	Professional		$845.38	$1,074.64	$1,515.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $522.74 / $821.52 / $1,299.54	Facility		$522.74	$821.52	$1,299.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $598.74 / $910.49 / $1,410.07	Professional		$598.74	$910.49	$1,410.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $581.41 / $1,019.10 / $1,247.54	Facility		$581.41	$1,019.10	$1,247.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $535.74 / $847.31 / $1,593.49	Facility		$535.74	$847.31	$1,593.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $727.04 / $1,081.31 / $1,613.73	Professional		$727.04	$1,081.31	$1,613.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,364.17 / $9,638.43 / $12,117.15	Facility		$6,364.17	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $743.43 / $1,141.49 / $1,733.32	Professional		$743.43	$1,141.49	$1,733.32
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 $722.15 / $1,191.35 / $1,907.71	Professional		$722.15	$1,191.35	$1,907.71