Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $635.66 / $2,747.00 / $7,920.26	Facility		$635.66	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.20 / $446.07 / $1,078.47	Professional		$267.20	$446.07	$1,078.47
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 $414.03 / $711.03 / $1,170.96	Professional		$414.03	$711.03	$1,170.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $605.02 / $760.73 / $1,057.24	Professional		$605.02	$760.73	$1,057.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $401.86 / $637.13 / $973.42	Facility		$401.86	$637.13	$973.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $469.82 / $675.60 / $983.62	Professional		$469.82	$675.60	$983.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $501.14 / $801.21 / $868.99	Facility		$501.14	$801.21	$868.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $401.86 / $637.13 / $1,093.09	Facility		$401.86	$637.13	$1,093.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $527.30 / $780.67 / $1,122.30	Professional		$527.30	$780.67	$1,122.30
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 $530.55 / $805.38 / $1,210.59	Professional		$530.55	$805.38	$1,210.59
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 $615.45 / $866.65 / $1,359.65	Professional		$615.45	$866.65	$1,359.65